Laserfiche WebLink
_ � ,� s�saao-oozo City of Ze hyrhills�Permit Application Fax-813-780-0021 <br /> - � Building Department <br /> Date Receiv�d ����(�� 7Z 7 �8g 2 S L <br /> Phone Co tact for P,ermitting — _ � <br /> -rrrrrr�-i- - -rrr - - <br /> Owner's Name M�-;-��s. a m.t pr�,C e. Owner Phone Number <br /> Owner's Address y�y� y�St✓��t Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> � <br /> JOBADDRESS 38y4v ��h �V� • LOT# �� <br /> SUBDIVISION ARCEL ID# �� �ZG—z� "Onl O���i 7Q�—D?�J(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSfR B DD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL EPAIR <br /> PROPOSED USE � SFR � OMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 RAME 0 STEEL 0 <br /> DESCRIPTION OFWORK �L�'�ttY��t7Y �L�I�V /'D�'15 EI�C. t�v�-e . �tu�r,b ' rywa lJ Gnd (,O'►p <br /> � —! <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> %��' �BUILDING $ � /- CJ VALU TION OF TOTAL CONSTRUCTION , J � '" �V <br /> � lf��� � <br /> �t� �ELECTRICAL $ � O .DD AMP ERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> �� OPLUMBING $ �O ' � 2�-3 � <br /> * �l�10. <br /> ' Z �v� s cs�� S `� <br /> ll;l �MECHANICAL $ � � Da VAL TION OF MECHANICAL INSTALLATION 2� �,�— <br /> �� (� J� � d/ / <br /> +!� OGAS Q ROOFING Q PECIALTi � OTHER � �� �(1,� I, L/ <br /> �, S i``,�..ti„u�, <br /> FINISHED FLOOR ELEVATIONS � U i�Rf �` <br /> ��\f � LOOD ZONE AREA YES NO �� ��v� �� <br /> �`' tJ <br /> BUILDER � COMPANY �D� �T"��s�r'ro� cvm P�}-�u y.ytx, (�rV � <br /> SIGNATURE � �' REGISTERED Y/ N FEE CURRE� Y/N � <br /> ,4ddress 2522.! W�l� �ap-e� g!v.ok. L-e,�'z 33559 CBC / C�� <br /> 'O �icense# �7�3 7 <br /> ELECTRICIAN �p� C" ' �„j, � e COMPANY J D P EL��"�i e� �..Ne�. <br /> SIGNATURE ���`' U° REGISTERED Y/ N FEE CURRE� Y/N '� <br /> Address GG o0�. GLD,Z/I��q,c}.✓�, Tg py. 33 o y License# ��°D'°�9 5 a "�' <br /> ' ��� . <br /> C� PLUMBER ��Q d�s COMPANY '�'� °��S!°'U ��rna�N4 ` <br /> SIGNATURE c�l�_ ' �� REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address �2-2o Jl�Str�2t {�r�-U'Yl 3p2,I 3y 4 83 License# ���-n29� l3 <br /> �MECHANICAL � ✓ &�j� "�` COMPANY ��m s��►�;��s �NC � <br /> SIGNATURE ��-- � �/ � REGIST�RED Y/ N FEE CURRE� Y/N b <br /> Address ���S E�-J�,�2Ti�u Lu r�r�2 k in� BGvD� TA�IP�q 33�p <br /> I -3 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> 11111111 / 1111111111111lIIIIIIIIIIIIIilllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal d te. Requi�red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Per it for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus 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 orisite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Per�it for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *""PROPERTY SURVEY required for all NEW �onstruction. <br /> Directions: � <br /> Fill out application completely � <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/ upgrades over$7500) <br /> "" Agent(for the contractor)or Power of Attorney(for the owner) ould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI'ITING (Front of Application O ly) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RO i <br /> � <br /> I <br />