Laserfiche WebLink
813 - 780 -0020 City of Zephyrhiils Permit Application - � Fax -813- 780 -0021 <br /> Building Department '( v <br /> Date Received - j • ' <br /> // b Phone Contact for Permitting � 6 -- /�, r <br /> ../ Owner's Name . #05P. � /v' yi / .1.4.1' L.S Owner Phone Number 8l3 - 7s3- (0 /s / <br /> Owner's Address 7 Q /4-A.� „ /... Owner Phone Number <br /> Fee Simple Titleholder Name <br /> P j - AA . //0,5p _24,hrh; C LS Owner Phone Number <br /> Fee Simple Titleholder Address 7/24 bv4/i 6,t: /2. 1 �(��� /j 'i1. S )'-i<4 33.5''Ir: <br /> JOB ADDRESS / LOT # <br /> SUBDIVISION PARCEL ID# JJ ..)2 i ,at-/ - G /G - /D,1 2 - Ot70 °O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I / 1 SIGN I 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR n COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME 1 1 STEEL n I I <br /> DESCRIPTION OF WORK / ,Opf‹: no A e / <br /> i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ /`O O� 01I VALUATION OF TOTAL CONSTRUCTION <br /> E LECTRICAL $ AMP SERVICE 1 1 PROGRESSENRGY n W.R.E.C. <br /> o1 a-0 . v ft.7 <br /> 1 ✓f MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> et) COO. ou <br /> 1 1GAS 1 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONbAREA 1 (YES NO <br /> BUILDER 1 1 \ .5(,f /9//-). Old- CLtg� m. <br /> SIGNATURE t j " i� /�/i REGISTERED I Y/ N 1 FEE CURREF I Y N 1 <br /> Address 60 License # hGe% /3 Jyh W.; <br /> o \��-� k v • COMPANY .1 /� <br /> SMINATIME � ` �!!� V�•o�Vv� �' REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> PLUMBER / 4tN • COMPANY Sled+i4r a Aek ,� <br /> SIGNATURE �-5 v y REGIST - D I Y / N FEE CURREN 1 Y / N 1 <br /> Address , , - , i ' i License # ace.. /4 y ./ <br /> �� _, h i 1 \ 0MPANY W y , - " PiZ I) 4 -S e el /1/61-6- ( <br /> - U o ir �) REGISTERED r Y/ N 1 FEE CURREN I Y / N 1 <br /> Address License # CM C a3 3 Sa <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (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 & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) 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 & 1 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 /> Directions: <br /> Fill out 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 PERMITTING (Front of Applicat'•n •nl <br /> Reroofs if shingles Sewers Service Upgrades A/ v ,..÷-1....,,, • , 1 IV • • . • <br /> . <br /> Driveways -Not over Counter if on public roadways..nee, 4e °le 3JW44 rrit'aM ,`r •:'s <br /> tf 40 <br /> it Avs*o3 tie • i • <br /> V MS PO AM nelt ano0 S <br /> AMU VON ImOila Wad -'14. . l` <br />