Laserfiche WebLink
� s�3-7so-aoza City of Zephy hi11s Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> Date Received� �' '��' �,�' phone Contac for Permittin �1� �..,J -- U"`�' <br /> Q�n►ner's IVame � C— � d�'`- �� Owner Phone Mumber � � � —6� � <br /> Ou+rner's e�ddress �'�J�v �� ����- Oevner phone Number � � <br /> Fee SFrnpie Titlehoider i�ame �� O�rner�hone Number �� � <br /> Fee Simpie Titlehotder Address <br /> Ja�A��R�sS ��J� �1 vC�. ��,. �.az� ���� <br /> suen��r�s�o�a �.SZ �� �-i � Qa�zc �.�o# ��;�--�- '��� C�C� �j-tJQ �'� "CJ��'°" � <br /> (OBTAIPIED FROM PROPERTY TAX NOTICE) <br /> HtfOEtK PROPOSED New caNS7� ADblA T �] SIGf� 0 0 DEMOLlSH <br /> iNSTALL 8 REPAi <br /> 6'ROP03ED USE � SFft Q CQMM � OTHER <br /> 7YPE�F COtdSTRUCTiO(d Q BLOCK Q FRAM � STEEL Q <br /> LIESCRePTtOtV OF WOR�C � � C`��-�•�� ��'� � <br /> 8t1iLQttd.Ca SOZE � �1 5Q FOOTAGf F#EIGHT �_____� <br /> [�BU4LDING $ �`�?��� VALUATIfl OF TOTA�CONSTF2UCT10(U <br /> 1 <br /> QELECTRICAL ��------� AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG �� S�n� <br /> � � V <br /> QMECHANlCAI. $ VALUATION OF MECHAIUICAL INSTALLATION � <br /> �GAS � ROOFING �] SPECI TY C� OTHER <br /> i <br /> FINISHED FLOQR ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> �aus�oEa � 1 �' ca Pmr+�r a � c�p �'�Y1 �� {q"�. <br /> SIGIdATURE "�-� �`��� RE ST6RED Y/ N FEE CURRE� /N <br /> Address \``C���. ���.,1�� �, ' E.icense# �.C..�� <br /> ��EGTFtIC1AM CO PAtdY <br /> SIGf�A�URE REG STERED Y I 1V FEE CURRE� Y/(V <br /> � Address License# � � <br /> P�.UMB�R _� C� PAi4fYY <br /> SIGMATI.IRE REG TERED Y/ N FEE CURRE� Y I N <br /> ,4ddress License# � � <br /> MEGNANICA�. �--� CO PAid`f <br /> SIGfdATURE REGt TERED Y J N �EE CURftE� Y 1 N <br /> Address License# �_ � <br /> OTHE� _-� C� PANY <br /> SIC�RIATURE REGi TEftED Y I N FEE CUF2RER Y I I�I <br /> Address License# C� � <br /> RESID�A�TIAL Attach{2}Piot Pians;{2}sets of Buiiding Plans;(1)set o Energy Forms;Ft-O-W Permit for new construction, <br /> Minimum ten(10}worfcing days after submittat date. Re uiTed ansite,�Gonstruction Plans,Stormwater Plans wl Sitt Fence installed, <br /> _ Sanitary Facllities&1 dumpster;Site Work Permit for su divisionsllarge projects <br /> CQtH11NtERGtAL Aftach{3)complete sets af Building P1ans p(us a t�ffe Sa ety Page;(1)sek'of Energy Fotms.R-O-W Permit for new constnictian. <br /> Minimum ten(10)working days after subm(ttal date. Re uired vnsite,Constrvctiott Pians,Stormwater P4ans wl Sf►t Fence instaited, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 3lG�d PEE21UtiT Attaah{2}sets of Engineered Plans. <br /> """PROPERTY SURVEY requtred for aIi NEW construc an. <br /> Directlans: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Motice of Commencement is requ�,red:�;{A!C upgra es over 57500} <br /> "* Agent(for the contractor)or Power of Attamey(fot�tFie owner)would be someone with notarized letter from owner authorizing same <br /> ON�62 TNE COUNTER PERtV111?FNG;� _ _{Ftdnt of Application Only) <br /> Fteroofs if shingles �ewers - Service Upgrades A7C .,: Fences( lot/Survey/Footage) <br /> �rivewrays-Not over Gaunter if on pub(ic raadways..neads ROW <br />