Laserfiche WebLink
813-780-002d City of Zephyrhi(Is Permit Application Fax 813-784-0021 <br /> Buitding Department <br /> t3ate Re�atved . • -Ph`one�Contact for Permittina• � .�, .-<..,_ ,<. .;. ._,._, . - <br /> �...7�oC� v r, ���.�.,, � + - ..� �. ,_,,., , . . ,. , <br /> Owner's Piame Owner Phana Number � '`-'° <br /> . �; :.c�� . , _ . <br /> Owner's Address Ov+iner Ptione Number <br /> Fee Simpie Tltleholdar.Name � � Owner Phone Number � �� <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS � O LOT# ��� <br /> suB�fvisioH �• � �pARCEL tD# 1 !'2!� '� !�'d��G� - C��.l�C�� — G U�,r� <br /> ' (08TAINED FROM PROPERTY TAX NO'FICE) <br /> WORK PROPOSED ` e NEw CaNSTR 8 " AQDlA�T' �� SIGN Q Q DEMOLISN <br /> INSTAI.L REPAIR <br /> PROPOSED USE Q �SFR 'Q COMM ' � O7HER <br /> TYPE OF CQNSTRUCTION Q BLQCK ,[�] �FRAME [� STEEL Q <br /> DESCRIpTiON-OF iNORK -� ��-�.�2 "t l�?1`\ � 6' (a��f' �'�C�i�t� � <br /> BUtl.D1NG SIZE` � �y SQ FOOTAGE��< HElGHT C�_„� <br /> QBUILQING ��. VAlUA7tON'OF TOTAL COi+lSTF2UCT1{�N <br /> QELECTRICAL ($ — � �AMP SERVICE Q� PROGRESS ENERGY �Q W.R,E.C. <br /> �_ <br /> , <br /> QPLUMBING $ <br /> -�� �(� 330 <br /> C v'MECHANICAL $ ,�`�p� U� . VALUATION OF MECHANICAL INSTALLATION <br /> ., .' <br /> QGAS Q ROOFING •Q SP.ECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA Q.YES NO - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�E CURRE� Y/N <br /> Address License# � � <br /> ELECTRICIAN COMPANY " <br /> SIGNATURE REGISTERED Y/ N F�E CURREt� Y/N <br /> Address • Liaense#-�- � <br /> PLUMBER , , GOMPAI+tY � <br /> SIGNATURE .REGISTERED. Y/ N FEE CURRE�`-: Y/,N <br /> Addre�s Cicense.# <br /> MECHANICAL ' ��� � , Yl COMPANY �Gt�f'`��(.2G�/"!C '��2 tn -e�'. l� <br /> SIGNATURE REGISTERED .. Y/ N . . FEE CURRE�, - Y/N <br /> Address � �( C l"� ' ' � License#. C �,Z`�� � j G' � <br /> OTHER � f� � COMPANY <br /> SIGNATURE ` ` - REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address . . , � ' _ � � ° `L'icense#_� � <br /> RESIDENTIAI., Attach(2)'Flot Plans;'(2)sets�.of Builcling'Plans;(1)seY of Energy�Fortr►s;R-O=W-Perrrilt for new constructton, " <br /> Minimum ten:(1U);warking days;after�submittal dafer`Requir'ed onsite,:Constnic8on Plans;Stormwater Plans w/Sflt Fence installed, <br /> '�SanttaiyFacilitiesf&,1 dumpste�•8ite,UVotk�Permit,far,�subdivisionstiarge^projeats-- t' <br /> COMMERCIAL Attach(3��mplete sets of Builtlirig�Plans plus'a Life Safeky Page;(1}set of Energy Forms.R-O-ihf Perenit far new construction. <br /> Mlnimum ten(10)woricing days�after submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence lnstalled, <br /> Sanitary Faciiities&1 dumpster.Slte Work Permit for ali new projects:=Att c+�mmercial requirements must meet compiiance <br /> SIGN PERMlT Attach{2)sets of Englneerecl,P.lans.. _ .•: � � � " <br /> '""•PROPERTY SURVEY required for`all NEW consfruction. � <br /> �Irections: . <br /> Fill out application campletely. <br /> Owner&Cantractor sign back af applicatlon,natarized <br /> If over a2500,a Notice of Cammencemenf 1a required. (AiC npgrades aver$7500) <br /> '" Agent{far the contraGtor)or°Pawer of Atlomey�{for the owner}wouli#be sorrieone with�otarized letter from owner autt�orizi�g same <br /> �VElt THE COUNTER_PERMIT'TING�. ..._..{Frontof.Appt�cat�on..Oniy}. - � <br /> 2eroofs lf shingles 8ewers Service Upgrades A!C Fences{PlatlSurveylFootage) <br /> Drtveways-Not over Counte�if on pubiic roadways.:needs ROW' <br />