Laserfiche WebLink
, � �,� • 813-780-0020 City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> Building Department �+, <br /> r��`}I+G !J 13- -C/� CS <br /> DateReceived �2 �a i l��.-► Phon ContactfoqPermitting �J`✓Z �i�i� '�c�7�✓ <br /> Owners Name n 11 � �� J I Owner Phone Number S I� -7�8 '�/ <br /> Owner's Address � YI� Owner Phone Number <br /> Fee Simple Titleholder Name Fee Simple I Owner Phone Number <br /> I <br /> Fee Simple TiUeholder Address I <br /> JOB ADDRESS �p LJ l�� ,� I � � ,� L LOT# ��� <br /> SUBDIVISION PARCEL I I# lI�Z� '!� �(�Q�f� '�GIQC� '��� <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> X INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br />, TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK V� 7 I � � � ' <br /> BUILDING SIZE SQ FOOTAG �I�-I- HEIGHT � <br /> QBUILDINC�ROOFIN ��� b I <br /> V LUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ A P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> QMECHANICAL $ V LUATION OF MECHANICAL INSTALLATION �1�� <br /> QGAS XQ ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> .i—:-F� I, <br /> BUILDER i n / COMPANY JASON NEUMANN/NEUMANN ROOFING <br /> SIGNATURE V V REGISTERED Y/ N FEE CURREN Y/N <br /> Address 30427 COMMERCE DR, SAN ANT N20, FL I3 576 License# CCC1326166 <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i <br /> Address I License# <br /> • I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> I <br /> Address I License# <br /> I <br /> M ECHANICAL COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> I <br /> Address I License# <br /> I <br /> OTHER COMPAINY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i <br /> Address I License# <br /> 11111111111111111111111111111111111 �11111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plan ;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submitta date. Required onsite,Conslruction Plans,Slormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work P rmit for subdivisions/large projects <br /> COMMERCIAL Attach(3)compiete sets of Building Plans plu a Life Safery�Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br />, Minimum ten(10)working days after submitta date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work P rmit for all new projects.All commercial requirements must meet compliance <br /> I SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERI'Y SURVEY required for all NE construction. <br /> i <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. ( C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owne would be so i eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application nly) <br /> Reroofs'rf shingles Sewers Service Upgredes A/C Fences(PIoUSurvey/Footage) <br />'� i <br /> Driveways-Not over Counter if on public roadways..needs R W I <br />