Laserfiche WebLink
� <br /> 813-780-0020 City of Zephy�-hi(is Permit Applicatian Fax-813-780-0021 <br /> . , , Bu Iding Department <br /> 1 ' . <br /> � <br /> Date Received Phone Conta for Permltting � �(`C' .,� <br /> Owner's Name �J d.1 /� Q� Owner Phone Number <br /> Owner's Address ��� t � � ' Owner Phone Number � � <br /> Fee Simpie Titleholder Name ' Owner Phone Number � � <br /> Fee Slmple Titleholder Address <br /> 30B AdDRESS 3� t � r�/ti;5�'J� LOT# �� <br /> sueo�v�s�or� � PAl2G L!D# ��-�� - a4- �.3 fl - aQ��--c�3 �o <br /> _ __ ,�_ _ _ ____. _,._ -___ _ - - -- - --- (087AINED FROM PROPERTYTAX NOTICE) � <br /> WORK PRQPOSED e NEW CON57R 8 ADQt LT � SIGtV Q Q DEMO�ISH <br /> INSTALL REPA R <br /> PROPQSED USE Q SER Q CUM � OTHER <br /> TYPE OF CONSTRUCTICIN [�- BLOCK Q FRA � STEEL Q <br /> DESCRIPTION QF WdRK <br /> BUtLD1NG SIZE � � SQ FflOTAGE o�. ( HEIGNT ��� <br /> QBUILDtNG � � VA�UATlGI OF 1'OTAL CONSTF2UCTION g?��9J _�- <br /> �ELECTFtICA� $ �� AitttP SER CE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPlU1V181NG $ � . _�, p_� <br /> QMECHANIGAL $ VALUATl4 OF MECHANIGAL iNSTALLATlQN -� � <br /> � �' �' <br /> QGAS Q ROOFfNG �] SPEC LTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOQ ZONE AREA QYES NO <br /> BE1tLDER C [�lPANY <br /> SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� ^� <br /> Ei.ECTRiCtAN C MPANY <br /> SIGNATURE R ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �^ � <br /> PLUMBEi2 � C MFANY <br /> 51GNATURE Re ISTERED Y/ N FEE CURRE� Y/N <br /> Address i.icense# �y � <br /> MECHANICAL C MPANY <br /> 61GNATURE rxE ISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �- � <br /> A o • <br /> DTHER �� C MFANY <br /> 51GNATURE RE ISTERED Y/ N FEE CURRE� N <br /> Address �� ' L3cense# �-CC-� '� <br /> 3 ...5�� 1`��� r� �. �� � `7`� �Z � <br /> ZEStDENTiAL Attach(2)Piot Pians;{2)se#s of Buftding Pians;{1}set of Energy Forms;R-C?-W Percnit for new construction, <br /> Minimum ten(10}working days after submittal date. R uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for ubdivisions/large projects <br /> �OMMEftC1AL Attach{3}camplete se#s of Buiiding Plans plus a�[fe fety Page;(1}set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woricing days'after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, <br /> San(tary Facilities 8�1 dumpster.Site Work Permit for II new proJects.All commercial requi�ements must meet compliance <br /> 'sIGN PERMlT Attach{2}sets of Engineered Ptans. ' <br /> ""•PRQPERTY SURVEY required for all NEW constru tion.! <br /> )Irestions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appltcation,notarized , <br /> tf over 52500,a Notice af Commencemen#is requFrad. {AJC upg des over$T500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same <br /> ?VER TNE COUNTER PERMITTlNG {Frortt of Apptication Only} <br /> teroofs if shingles Sewers Service Upgrades�A/C - Fenaes(PIoU3urvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ' <br />