Laserfiche WebLink
a��-�saoozo City of Zephy hills Permit Application Fa�c-813-780-0021 <br /> Bw ding Department <br /> i <br /> Date Received f '— phone Contac for Permitting g1.3 ��� — ��T7i <br /> j , � ./ <br /> Owner's Name L(� �JI�—►L-���-/ � �v Owner Phone Number ��3) /'Sa-1 S� <br /> Owner's Address ��� �/f-r�-� Owner Phone Number b�J� 5°�3'o�s� <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS d %� D� ���- LOT# � <br /> SUBDIVISION �-��"r-� ���� PAR EL ID# IO�—o��P or-i —DO.�J�^�OZCa—j���{-(� <br /> (OBTAtNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD�4LT � SIGN Q Q DEMOLISH <br /> INSTALL REPl�IR <br /> PROPOSED USE Q SFR Q COM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F E � STEEL <br /> DESCRIPTION OF WORK ��.�C: �� � O2� V`� � V�/)�y` ,�/(i(/ <br /> BUILDiNG SIZE � � �� SQ FOOTAGE HEIGHT <br /> �BUILDING $ Z�OO✓ VALUATI N OF TOTAL CONSTRUCTION �`�� � <br /> QELECTRICAL $ AMP SE ICE � PJ�Y Q W.R.E.C. <br /> �QPLUMBING $ � ���� (�I <br /> � � � p <br /> QMECHANICAL $ VALUATI NOFMECHANICALINSTALLATION �J /',�G��,/!/���hG��— <br /> (/(J <br /> �GAS Q ROOFING Q SPE IALTY � OTHER (�(nc�C�Q�j . <br /> FINISHED FLOOR ELEVATIONS FL� D ZONE AREA QYES NO � „`a �,�.�1��b��,� <br /> � � <br /> ` � r��La�,-. LLc <br /> BUILDER '�' OMPANY <br /> SiGNATURE EGSTERED Y tS F�cuw�n Y 1 IJ <br /> Address ��� � "L � L License# (�f�J— ° ' �i7ij <br /> ELECTRICIAN �I +Q�y y COMPANY <br /> SIGNATURE �,`°�� �v� GISTERED Y/ N FEe curtrt�n Y/N <br /> Address License# <br /> PLUMBER `///I COMPAtSY <br /> SIGNATURE /y ��f� REGISTERFD Y/ N FEE CURREp Y/N <br /> Address License# <br /> MECHANICAL i,/ /L COMPANY <br /> SIGNATURE V �� REGISTERED Y/ N FEE GURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNANRE REGISTERED Y/ N �e cuw�. Y/N <br /> Address License# �— <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 / 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bu�lding Plans;(1) et of Energy Forms;R-0.W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal dat Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&'I dumpster,Site Work Pertnit or subdivisions/large projects ` <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'e Safety Page;(1)set of Energy Fortns.R-aW Permit for new wnstruction. <br /> Minimum ten(10)working days after subm'ittal dat Required onsite,Construction Pfans,Stormwater Pfans wl Silt Fence inslalled, <br /> Sanftary Facilities&1 tlumpster.Site Work Permit or all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for ali NEW co truction. <br /> Directions: <br /> FII out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C pgrades over$7500) <br /> " Agen[(for the contrector)or Power of Attamey(for the owner)wo41d be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only� <br /> Reroofs if shingles Sewers Service Upgrades A!C Fe ces(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />