Laserfiche WebLink
` Fax-813-780-0021 <br /> CityOfZ8phV[h\\\s Permit Application <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name (Am ry Ownei Phone Number <br /> Owner's Addressl 17-(p 0-1--:te-Ile Co rv) )7-apan 3 3�j 3�l­ Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> SUBox/0xJN PARoELOD# 5� 7(OBTAINEDF'_PROPERTY TAX NOTICE) <br /> WORK PROPOSED wawcowsrn *Do�o�� F--� G|GN F--1 [--1 DEMOLISH| } INSTALL �_] REPAIR <br /> PROPOSED USE �-� � aFm �-� COMM F--1 OTHER <br /> TYPE OrCONSTRUCTION r�� BLOCK �-\ FRAME �--� STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE -SQ FOOTAGE HEIGHT <br /> �--lBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �--lELEC��}{�� AM SERVICE �--| P�DG�EGGENERGY [ i YV.R£C. <br /> ___ <br /> �-�PLU�B|Ng ' <br /> �� <br /> �--l�EC�AN��AL VALUATION OF�__. . <br /> =GA8 1 <br /> -21 ROOFING F-l � SPECIALTY | | OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEo NO <br /> BUILDER COMPANY <br /> SIGNATURE nEo/arsnEo LY/_N_ rEEt:u««c^ L_lIN_� <br /> Address Uoanau# <br /> 7- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE L/_N_| pEscunesN L_I7 NL� <br /> Address License# ILE 0 03-11 S_ <br /> PLUMBER > COMPANY <br /> SIGNATURE neo/orsnso L`LL1�_� 'rcscunneu L����_J <br /> Address License# <br /> MEuHAw\CAL COMPANY <br /> SIGNATURE 2 REGISTERED , L`��«L_1 pssounnex -LI21N_| <br /> Address 3 Liuonne# <br /> OTHER COMPANY <br /> SIGNATURE nso/arsnEo ,y/_N_1 pEEouRns^ L_Y/N_�J <br /> ' <br /> Address Net I P CA Uwmoo# <br /> maxxxmmmonommuxommmxxx � � mxxxumxxoxxuoxxxunnxnxu � uxxummx � om � xxx � mxxx <br /> RESIDENTIAL Attach;4 Plot Plans;(2)sets n[Building Plans;(1)set of Energy Forms;R-<]4N Permit for new construction, <br /> Minimum ten(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new 'construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new 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 /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over*2soo,m Notice of Commencement isrequired. (A/C upgrades over$75U0) <br /> � <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) ' <br /> Rumofs if shingles Sewers Service Upgrades A/C Fances(P|ot/Suwey/Footogo) <br /> Driveways-Not over Counter ifun public modvays..noedaROW <br /> . <br />