Laserfiche WebLink
ais-�eo-oozo City of Zephy hills Permit Application Fax-813-780-0021 <br /> Bui ding Department <br /> Date Eteceiaed Phone Conta t for Permitting � -- <br /> Owrner's Mame , '1�., � � Owner Phone fVumber �3 "' r-�� <br /> Owner's�ddress r Owner Phone Mumber <br /> Fee Simple Titleholder fdame � Owner Phone Number �— <br /> r � . <br /> Eee Simple Titleholder Address a �" ��' �� � <br /> JO�d1DDRESS _ '- _ e LOY# �� <br /> SUBDIbISION PAR EL ID# [� � ��p � ( ^ C� ~'Ol�� <br /> --- -- -_ . __ - -- -- - - . _---- --- ---_- - -� --(09TAIkED FROiN PROPERTYTAXROTICE)`•-� - _ -�-. - ~- <br /> MfORE(PEtOPOSED NEW CONSTR ADD/ LT �- SIGN Q � DEMOLISH <br /> , e INSTALL e RES' IR_ <br /> �ROPOSED U�E Q SFR Q±. COM 0 OTHER � <br /> TXPE OF CONSTRUCTIORi Q BLOCK Q� FRA E 0 STEEL Q <br /> �. r c �. <br /> DESCRSPTIOM OF MfORK <br /> BUILDING SIZE SQ FOOTs4GE HEIGHT <br /> QBUILDING $ ��+y�.,°a VALUATI N OF TOTAL CONSTRUCTION <br /> VIJ <br /> [�ELECTRICAL $ AAAP SER ICE - Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ - <br /> - � 1 S�GR7a. <br /> QMECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPE IALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO <br /> BUILDER - OMPANY O�'h C? G✓ G <br /> SIGMATURE EGISTERED Y/ N FEE CURRE� Y/N . <br /> e4ddress License# <br /> �LECTRICIAN OMPANY <br /> �IGMATURE - EGISTERED Y/ AI FEE CURRE� Y/N <br /> Address License# <br /> PLUIM�ER - ORlIPAfdY <br /> SIGfdATURE GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL OMPAPIY <br /> SIGNATURE EGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Ol'HER O{ViPANY <br /> � SIGfdATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESID�MTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t 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 Facllities 8�1 dumpster;Site Work Permit fo subdivisions/large projects <br /> COMRAERCIAL 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 fo ali new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. � <br /> •'""PROPERTY SURVEY required for all NEW cons ction. � <br /> Directions: <br /> - Fill out application completely. - <br /> Owner 8 ConUactor sign back of application,notarized - <br /> If over 52500,a Notice of Commencement(s required. (AIC up rades over�7500)-=--==�.�=_,-�_ .�z,r,_>._., ._ _.' <br /> � �. , . ..,�.._-,.::-�,:_..�., <br /> °" Agent(for the contractor)�or PoweF of Attomey(fo�'tfie.ovime�)woul be someone with�notarized letEerf�om ownet authonzin�same <br /> , , „... �,.. . . , , ,', : <br /> ONER THE COUtdTER PERMITTING;:;�,�;,;(Eront;of Application,Only) •? � ,`',='� ,:;,_.=_ ,,; :� .� _ ; <br /> Reroofs if shingles 5ewers ..°.;+"_ Service Upgrade's:_A%C.:�: ` Fenc s(PIoUSurvey/Fo;ofage)__ _ -;s . : .. -_ , �i <br /> }� ,, . __ ,� , � . . , . . ._,„_. -: . <br /> Driveways-Not over Counter�if'on public roadways::needs'ROW <br />