Laserfiche WebLink
ai3�eo-oozo City of Zephyrhilis Permit Application FaxB'13786OD21 <br /> Building�parhrient <br /> �R��,� - 7-r� �e���� �s ` - yr! <br /> . . � � � . � � � � � � � mm <br /> Owner's Name Ow�er Phone Number <br /> OwneYS Address Z� +~ � � FL� � ���wner Phone Number � <br /> �K �Fee Simple TitlehoWer Name Owner Phone Number <br /> Fee Simple TitlehWtlerAddress � <br /> JOB ADDRE5S LOT 0 C� <br /> sueawsoN PaRC�ros 35• Z5• ZI•�1'3IJ•�•OC�F�, <br /> wsTU�Fnor r�eoreeTr�c Mot� <br /> WORK PROPOSED NEW cON57R ADDlALT � SIGN � � DEMOL.ISH <br /> 8 INSTALL e REPAIR <br /> PROPOSED USE � SFR COMM Q OTHH2 � <br /> TYPE OFCONSTRUCTION Q BLOCK FRAME � STEEL Q r-� <br /> DESCRIPTION OF WORK f� �1 �K.*� � <br /> BUILDING S12E SQ FOOTAOE� HEK3HT � <br /> QBUILDING $ VA�UATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMPSERVICE Q PROGRESSENERGY � W.R.E.C. <br /> �PLUMBING $ A- 0� �I��(9� <br /> �� r� <br /> � ��' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS O ROOFING Q SPE(',IALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA �YES NO <br /> BUILDER COMPANY � <br /> SI6NATURE ReG�srERED Y/ N FEE cuRREN Y/N <br /> AdOress License# � <br /> EIECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE WRREN Y/N <br /> AdtlfeSS LICCnSC# � <br /> PLUMBER � COMPANY � <br /> SIGNATURE REGISTERED Y 1 N FEE WRREN Y/N <br /> Address License#t � <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CLIRNEN Y/N <br /> Address License# � <br /> � <br /> OTHER COMPANY �47�}O LaQr�}SQ�vqk�� <br /> SIGNATURE REG6TERED Y/ N FEE q1RREN Y/N <br /> Address D y $ License#I C�5 4, � <br /> 11111111111111 � 1 � 11111111 � 11111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Pla[Plans:(2)sets d Building Plans;(1)set of Energy Forms;R-O-W Permrt for new construction, <br /> Minimum Len(1�worldng days alter submitFal date. Required asite,CanstrucYion Plans,Stomiwatar Plans w/Sik Fer�ce inshaRed, <br /> Sanitary Facal�ies 8'1 dumps�r;Site Work Permd for subdivisfansllarge projeds <br /> COMMERCIAL Attach(�c�mplete se�of Building PYans pius a Life Safdy Page;(1)set of Energy Forms.R-O-W Pertnit for new construction <br /> Minimum�(10)worldng days after submi[Fal date. Required wsite,Construction Plans,Stomrvaater Plans W SiR Ferioe instaNed, <br /> sanilary Fad�aes s 1 durrpsler.s�e work Pem,a for al�new pcojeds.nY commercia�requir�nenes must mcet comqiance <br /> 516N PERMIT Atlach(�sets of Ergi�eered Plars. <br /> •"•PROPERTY SURVEY required for all NEW construd'an. <br /> `• • • • ' i111111111111111f11111 • <br /> Diredions:� <br /> Fill out aPW���P�Y- <br /> Owner&Contractor sgn back of application.notar¢ed <br /> If over 52500,a Notice of CommencemeM is required. (AfC upgrades over 57500} <br /> '" Agent(for Me coMractor)a Pov�er of Attomey(for the an�er)would be someone v�ith natar¢ed letter from oMner auMorizing same <br /> OVER THE COUNTER PBtMITi1MG (Flat d Application On1y) <br /> Reroofs'rf shmgles aevaers Service Upgrades A/C Fencas(PIOVSurvey/Foofage) <br /> DrivewaysNot over Counter'rf on pubhc roadways.needs ROW <br />