Laserfiche WebLink
eis-�eo-oozo City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> Bulldin Department <br /> Date Received • <br /> Phone Contact io Permittin __ <br /> Ourner's Name �`i .5�GJ�� Z�P����''��S ��� fj�SSa Owner Phone Number �� J ��J ! G�� <br /> O�nmer's Address `3�33 3 Co � �✓ot1 � o/ /// / ��� ��� �S O� <br /> �r �S Obmer Phone IVumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�s333 CJ �� d/ �P !v ' l�S� �� LOT# � <br /> SUBDINISIOIM PARCE ID# <br /> - - - - . _ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CoNSTR e ADD/AL � SIGM Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE Q SFR Q COMM �. OTHER �it/G� <br /> TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAME ` � STEEL Q <br /> DESCRlPTION OF VVORK �/j'!d� O� �oo�/ � C e �/��vg��� �/�G� �e i�S �p„���j� q��� <br />� <br />, BUILDIfdG 51ZE SQ FOOTAGE FlEIGHT <br /> QBUILDING $� �/'.�� « VALUATION F TOTAL CONSTRUCTION <br /> (/V <br /> QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY �] W.R.E.C. <br /> QPLUMBING $ � <br /> ' ��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �, <br /> � �0� <br /> QGAS Q ROOFING Q SPECI TY Q OTHER � �''� <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO �� � <br /> BUILDER .. CO PANY � ��—D/�+.f � SO(�u�/�,,,,( �� �El� Q <br /> SIGfdATURE _ � , RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address J fl, � �.C('[ (,� S'"t' T►a7vi. 3(,Z License# ��C ����73 <br /> ELECTRICIAN C MPANY <br /> SIGMA'iURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL - C MPAWY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDERITIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlitfes&1 dumpster;Stte Work Perm(t for ubdivisions/large projects <br /> I COMMERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for II new projects:All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> •""PROPERTY SURVEY requ(red for all NEW cons ction. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,nota�ized <br /> If over Sz500,a Notice of Commencement is requlred. (�41C up rades over;7500) <br /> "• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> 01/ER THE COUNTER PERMITfING , �� (Front of Applicatio�Only) v <br /> Reroofs if shingles Sewars,�:; c�+ Senrice.Upgrade5�A1C�'-�� �Fence (PIot/Survey/Footage) `-' �' ''` " �_ "" ��"�`, '� .,����������" <br /> ,.. .. .. .� . i <br /> 4 '; %' �-'-� -., ,.1:::: �q:.,.�i�. .sd� - , �. ,,,., . <br /> Dr(veways-Notover�ounter�if.on.public�roadways..needs:RQW � ' ' ' ��� �-`� s <br /> r.�.�.�ri.u��..r.-'. �.a_ .-_r.v...-ni• ..rtr• 'N•�..� - a� ' .� .. .. - • " <br /> A.:., t"..-5�.= -.-.- c.� ��_.uo-... nS. Y-v..-.J.ta' . <br />