Laserfiche WebLink
813-780-0020 City Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � ,�� � ph ne Contact for Permittin cJ UV -- � � / <br /> Owner's fVame �()Q L2 f �(�/'�f'C!'f OvHner Phone Mumber Cf/�C.O '�7s o�� �7 <br /> �roner's Address 3 7(�s oZ /7e�v /`�`()/�% /1./� Ql� Oyvner Phone Plumber <br /> Fee Simple Titleholder Name O�nrner Phone Number <br /> Fee Simple Titleholder Address � <br /> .DOB ADDRESS 3 7(�.S—oZ �� /7Zp�.f �oT� � <br /> SUBDIbISIOkI /)2(J/1J /��/pARCEL ID# �` —bW�"h�-l—Q��— �WO�-'L��v - <br /> (OBTAIMED FROM PROPERTY TAX NOTICE) � <br /> HNORK PROPOSED � NEW CoNSTa ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> �ROPOSED USE � SFR COMM .0 OTHER <br /> �PE OF CONSTRUCTIO(d BLOCK FRAME Q STEEL Q <br /> DIESCRIPTIOfd OF lMORK e '� � � <br /> BUILDIfdG 51ZE �7 �l� SQ FOOT GE s�a" HEIGH� <br /> BUILDING $��UD, �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> �. �T'-�� / <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION �GV - <br /> � ti3 <br /> OGAS Q ROOFING SPECIALTY [_] OTHER ��� <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> IBUILDER COMPANY �l�-/�" ,� �tt,/' �D-/�CS'e-��� <br /> SIGfdATURE REGISTERED Y/ N F E CURRE� Y/N <br /> n,, - ./! [�/ <br /> Address M 3 7��p�- ��J /� f l� Z—�N /� • License# �Y'�e - <br /> IELECTPtICIAN COMPANY <br /> SIGfdATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> PLUM�ER COMPAMX <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> d4ddress License# <br /> MECHANICAL COMPAMY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTMER COMPANY <br /> SIGfdATl1RE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESID�IdTI/1L Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Wo Permit for subdivisionsllarge projects <br /> COMIMERCIAL Attach(3)complete sets of Building Plan plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster:Site Wo k Permft for all new projects.All commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> ` ••""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requir . (AIC upgrades over�T500) <br /> •° Agent(for the contractor)or Pqwer of Attomey(for the wner)would be someone with notarized letter from owner authorizing same <br /> O!/ER THE COUNTER PERMITTING 1'�� (Front of Appli tion Only) <br /> Reroofs if shingles Sewers Service Upgrades A/ Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..ne ds ROW � <br /> . :� � .�{,:: : � . .- :, a , .. _. _ ..... :. . ... . . .' � - ; <br /> i, :�: _;,.� ., , . ` ,:.f ,.,� . � � , .. , , , , <br /> f ,,,, .. . ,:� . _. , , _ -, , , ' „ „ , , - ., . � � - . <br /> _ _ - " _j i �. ' �. � � ' -......_. ,� <br />