Laserfiche WebLink
$13-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivedqj Da . .P�.ho.ne.Contact for 1-Permitting 511101/'3 <br /> a I <br /> ) <br /> 3VowrwsK- ne 64t 5Mw Owner Phone Number b1 -7 -d 75 71 <br /> Owner's'Address ipot3Ox Q403 Lt)L -5%9J Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5939 17-th thill-5 Fl- -3354'.Dr- LOT# <br /> SUSOP41SION PARCEL 1001 �0--21-00/0 OZf4W- 00/0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT F--1 SfGN: DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPT.PN OF WORK Ut?/ <br /> BUILDING SIZE j7!!� SO FOOTAGEc� HEIGHT <br /> . .EB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> UILDING IS <br /> VALUATION OF TOTAL CONSTRUCTION <br /> F.LECTRICAL Is AMP SERVICE Q PROGRESSENERGY W.R.E.C. <br /> =F-LUMBING Is <br /> MECHANICAL 1$741-5007 VALUATION OF MECHANICAL INSTALLATION <br /> =c'4s Q ROOFING r7 SPECIALTY = OTHER <br /> FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURA REGISTERED I YIN FEE CUMEN LjLN_j <br /> Address License# <br /> LECTRICiAN COMPANY = 7 <br /> SIGNATURE REGISTERED I YIN FEE CURREN LXLN�� <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I YfN FEE CURREN LtLN J <br /> Address F 7 A License#= <br /> ftMECHANICAL COMPANY Zar—�s O=M Gas di uiC7 <br /> SIGNATUR1 I I Y/ N ftE CURREN I Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRa <br /> Addre3s' License# <br /> RESIDENTfAL Attach(2)Plot Plans:(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Permit for new construction, <br /> Minimum ton(10)working days after Submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects, <br /> COMMERCIAL Attach(2)complete sets of Building Plans Plus 0 WO Safety Page;(1)sot of Endrgy Forms.R-O-W Permit for now construction. <br /> Minimum ton(10)working days after subminel date. Required onsile.Construction Plans,Stoffnwater Plans wl Bill Fence Installed, <br /> Sanitary Facilities&I clumpster.Site Work Permit for all now projects.All Commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction, <br /> . . . . . . .. . . . . . . . . . . . . <br /> Fill ou!application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be Someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITT14G' -(Copy of <br /> contract required) <br /> Rerocifs if srdngles Sewers Service Upgrades A/C-. Fences(Plot/Sunneyffiootage) <br /> Driveways-Not over Counter if on Public roadways.-needs ROW <br /> % <br />