Laserfiche WebLink
$�s-�$a-oo2a City af Zephyrhil�s Permi#Application Fax-813-780-0021 <br /> Bufidin�Department �� <br /> Date Received � a� Phone Contact fa Pennittfn -- C/� �� � <br /> —+ , <br /> Owner's Name L°. dYY, p Owner Phone Number <br /> Owner's Address J � � Owner Phone Number �_ � <br /> Fee Simpie Titiehotder Name ��"'� Owner Phone Number �� � <br /> Fee Simple Titlehalder Add�ess '' <br /> JOB ADDI2ESS , S��. '— �.OT# � <br /> SUBDIYISIt3N �!^'—�-- � RARCEL 1D�Y <br /> (OBTAINED FROM PROPERTY TAX NO110E) <br /> WClRK PRt1PQSED e NEW CoNSTR ADDIALT � SiGN Q Q DEMQLISN <br /> INSTALL REPAIR <br /> PROPOSED USE� ,,-7�-�, .—"'° � <br /> Q SFf2 COMM O OTHER �� � � � <br /> TYPE OF CONSTRUCTION Q BLOCK L] FRAME C� STEEL Q �� y� c����. � <br /> DESCRIPTION OF WORK 3� � j�✓f v►i)) (J ^ n � UV �3V-GY' <br /> BWI.DING 51ZE �� � SQ FC}t}7AGE HElGHT � <br /> QBUILDING S � ��.,�--�.3� VAI.UATIOiV F TOTAL CONSTRt1CTION <br /> QELECTRICAL $ � AMP SERVIC Q PRQGl2ESS ENERGY Q W.R.E.C. <br /> QP�UMBING S � )�1�� / <br /> 1 " <br /> QMECHANlCAt $ VRLUATIC?N F MECHANlCAL iNSTALtAT10N <br /> [�GAS Q ROOFING Q SPECI TY �� OTHE#2 <br /> FINISHED FLOOR ELEVATIONS � � FLQOD ONE AREA �YES NO <br /> � <br /> BUIl.OER CO PANY ,� <br /> SIGNATURE REGI TERED N FEE C RRE� /N <br /> Address License# ��CDd��a0'�� �� <br /> ELECTRfC1AN Cp PqNY <br /> SIGNATURE _ REGI TERED Y! N FEE CURRE� Y/N <br /> Address ticense# �` �� <br /> PC,UMBER C FANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# �_ —� <br /> MECtiANICAL rW� CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address license# �—� � <br /> QTFIER � � CO PANX <br /> SIGNATURE REG TERED Y/ N FEE CURREh Y/N <br /> Address license# � � <br /> RESlDENT1AL Attach{2}Plot Plans;{2}sets of Building Plans;(1}set f Energy Forms;R-Q-W Pennit far new construction, <br /> Minimum ten(10)wotking days after submittal date. R uired onsite,Construction Pians,Stormwater Pians w!Siit Fence instailed, <br /> Sanitary Fadlides 8 1 dumpster;Site Wortc Permit for s bdivisionsliarge prajects <br /> COMMERCIAL Attach(3}complete sets of 8uliding P1ans plus a Life S ety Page;(1)set of Eneegy Forms.R-O-W Permit for rtew canstruction. <br /> Minimum ten(10)working days after submitkal date. R uired onsite,Construction Plans,Stormwater Plans wl Siit Fence instailed, <br /> Sanitary Facillties 8�1 dumpster.Site Work Permit far al new projects.All commercial requirements must meet campliance <br /> S1GN PERMIT Attach{2)sets of Engineered Plans. <br /> """PROPER7Y SURVEY required far all NEW construc on. <br /> Directians: <br /> Fill out applicatlon completely. <br /> thKner&Contractor s4gn back ot application,�otadzed <br /> If over 52500,a Notice of Commenceme�t is requlred. (NC upg des over 57500} <br /> '" Agenk(for the contractor)or Power af Attomey(for khe owner)would b someone with notarized letter from own�r authorizing same <br /> �VER THE COUNTfR PERMtTTING {Front of Apptication{3nly) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs 420W <br /> F <br /> i <br /> I <br /> � <br /> � <br />