Laserfiche WebLink
s�s-7eo-oo2o City of Zep yrhills Permit Application Fax-813-780-OQ21 <br /> uilding Department � <br /> Date Received Phone Con ct for Permitting — <br /> Ownsr's Name � �� t� 1 G� Owner Phone Number ��� "7�J T , 100' <br /> Owner's Address ��' �� �fi �.J�r �-r���• �.33.+'� Owner Phone Number �^ � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> , <br /> Fee Simple Titleholder Address • <br /> JOB ALIDRESS � � � • �C' � S �i� ��c�` L.OT# �� <br /> - SUBDIVIStOid - �-- -�_ _.P �EL ID# - -— — - - -.— --- - --__ - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e IN TALLSTR 8 R�PAIR � ���� � � ��MOLISFi <br /> PROPOSED USE Q SFf2 Q MM"' ' � OTHEF2 <br /> TYPE OF CONSTRUCTION [� BLOCK [] F ME � STEEL Q <br /> DESCRIPTION OF WQRK e (�G (f�t,r�U E.'. LC������1 C��`C.1� .�'.P � J �'" ' <br /> BUILDING SIZE SQ FOOTAGE Q HEIGHT ��� � <br /> �BUILDWG I9> � VALUA ION OF TOTAL CONS7RUCTION <br /> L <br /> QELECTRICA� � � AMP S F2VICE 0 FROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING � I� � Z�l� <br /> ���_. <br /> �NIECHANIGA�� $�r-y� � VALU tON OF MEGNANIGAL INSTAL.LATIQN <br /> ,� .L— <br /> QGAS Q RQC}FING � S ECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �— � F OOD ZONE AREA �YES NO <br /> BUfLDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUMBER COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> MECHANICAL , � COMPANY �� C�{'� 1} �J1 �70�ii1 ��G. <br /> SIGNATURE REGIS7ERED Y/ N FEE CURF2E Y/N <br /> Address ��� C^'�1'�u G. 1--1�, T�I3!'l� License# �7 �(..-�D ��'��a�-� <br /> OTHER � COMPANY ��ZCC, � 1 jt C� t��rt17 �C� <br /> SIGNATURE ,_ ,,_ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# � � <br /> RES1d8NT1AL Attach(2)Plot Plans;{2}sets of Building Plans; }set of Energy Forms;R-O-W Permit for new construc#ion, <br /> Minimum ten(10)working days after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster,Slte Wark Pe �t for subdivisionsilarge projects <br /> COMMERCIAL Attach(3)complete sets of Buitding Plans ptus a Life Safety Page;(1}set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days'after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fac3lities&1 dumpstar.5ite Wark Pe it for alt new praJecfs.Atl commercial requ9rements must meet campliance <br /> 31GN PERMIT Attach(2)sets of Engineered Ptans. <br /> "'"PROPERTY SURVEY required for all NEW nstruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8�Contractor sign back of appl9catian,natarized <br /> If over$2500,a Notice of Commencement is required. (Al upgrades over$750p) <br /> *"" Agent(far the contractor)or Powe[,of Attomey(far the awner} ouid be someane with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Fr6nt of Application On y)� " <br /> Reroofs if shingles Sewers _� Service Upgrades A!C _ ences.{PloUSurveylFootage) :; <br /> Driveways-Not over Counter if on,public roadways..needs RO ' � <br />