Laserfiche WebLink
-- '- -� uity ot Zephyrh\l\sPermit Application Fax-813-780-0021 <br /> Building DepartmentDate Received <br /> . . . <br /> Phone Contact for Permitting <br /> Owner's Name nc- Owner <br /> Phone Number <br /> Owner's Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SuaoPvm/om F 'Oct V <br /> WORK PROPOSED wewcumsrn ADD/8LT [---1 S|GN F--) F--| DEMOLISH <br /> ff INSTALL E REPAIR <br /> PROPOSED USE �—� eFR F--\ COMM �--1 OTHER <br /> TYPE DFCONSTRUCTION F--]- BLOCK [—� FRAME F--� STEEL <br /> BUILDING SIZE °^^,""`°"= <br /> =BUILDING I' 1c)( VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ Cr AMP SERVICE PROGRESS ENERGY W.R.E.'C. <br /> --- <br /> F--|G/VS L�� ROOFING [--\ � SpECI8L3Y F--� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> a|sm^zURE REGISTERED LY/ N FEE:u«RE^ LYIN � <br /> Address uoonse# <br /> ELECTRICIAN compAmr <br /> SIGNATURE nsG/eTEneo 1\17 reccuRne^ L_lINL I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE nsG/arsmsu LY/_N_J Fsscsnnsx L_l/_N_� <br /> Address Uoenne# <br /> MECHANICAL coMpmvr <br /> SIGNATURE no/arsn�o ' L_2�_� �_ �esuun�cxv <br /> s L_Yl NL� . <br /> Address License# <br /> OTHER compAm, <br /> SIGNATURE neo/srsnso LLN_J reEcunnEN L_Y/NL1 <br /> I cc <br /> Address pm�—&PlPn Licenon#x n x u x x n x x m m x u n m m x u u x m u x x x m m x x u x m n x u o <br /> RESIDENTIAL Attach(2)Plot Plans;QV sets nf Building Plam�(1)set of Energy Forms;R-O4m 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 /�ach(2)complete o�sof Building Plans plus aU � � <br /> fe� � PaQe;(1)soiufEnorgyF���.R,O4wPannitforne*omnsunctinn. <br /> Minimum ten(1O)working days after submittal date. Required onsita.Construction Plans,Stonnxmter Plans u/Silt Fence insbd\ed. <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach;4 sets of Engineered P|ans. <br /> °°°°PROPEFTY SURVEY required for all NEW construction. ' <br /> Fill out app\icatinncompletely. ^ <br /> Owner&Contractor sign back of application,notarized <br /> If over$2so0,p Notice pf Commencement isrequired. (VC upgrades over*75UV) <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 /> Remofsifshingles Sewers Service Upgrades A/C Fancem(PlnV8umey/Footaga) <br /> Driveways-Not over Counter ifon public madvaya..naedsROW <br /> . <br /> ' <br />