Laserfiche WebLink
� <br /> -- * - - - - - -- --- <br /> � . 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> , Bullding Departmen[ <br /> -- - - -- -- _Dete.Recelved-_ - ' / � S -- -- <br /> Phooe Contact for Pertniiting <br /> _.�Y-i�Y�P-Y-y-iT- /'1� - -- - ` 1T�i-1-( <br /> Owner's Name L( Owner Phone Number <br /> - Owner's Addreas ` - ) �\ , ` Cj �(2• �7 Ownar Phona Num6er �—� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> - - Fee Slmpla TlGeholder Addrae6 � <br /> JOB ADDRESS �� � 1 • LOT it � <br /> SUBDIVISION � PARCEL ID# � �r-1 I� ;' �(S�(L41" <br /> - (OBTAINEOFROMPROPERTYTAI(NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN � Q DEMOLISH <br /> -e- INSTALL � REPAIR _ --- -- ------- - - - -- - - - ---------- <br /> --- -------------- ------ --- - - <br /> - <br /> _ PROPOSEp USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> 5 i/Tia�v�Ne/d c�l �9n' � on cie5r r�A �c�-v mqrch}o �ac � F-�s � <br /> DESCRIPTIONOFWORK �LLK���;o��W7I�rP ��l�1'dK£ 'f � v:4f�ci� �tCcnae� ft' Elrc1��-• <br /> "'� '--_""-----'_'_'_"__ ' -_-_ _""_'_"-_ '______'_-_--'_'_"___ __'___"__'_-"_'__" '_ __ <br /> / /1 r <br /> BUILDINGSIZE �•'":a? X �Y� / SQFOOTAGE �S�J17 HEIOHT '�- J <br />_ �UII.DING $ �I � �O VAI:UATION OF TOTAL CONSTRUCTION --- <br /> ELECTRICAL $ �D-O a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �l( Z,�QJ'�✓" ' <br />_ � I� � <br /> 4 �-� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��s <br /> 2 �� ` �r/,' � <br /> QGAS Q ROOFING � SPECIALTY Q OTHER tC�/�/T'�-� <br /> fINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QVES NO � �I X` ` �\ /}I`� <br /> (� ��� �. <br /> BUILpER � COMPANY � ��'� <br /> SIGNATURE REGISTERED Y� N EE CURRE� Y/N <br /> Address L(cense# � <br /> ELECTRICIAN �.� �`� , ' COMPANY � � . � <br /> SICaNATURE �.��� � / 4 REGISTERED 1( N FEE CURRE�. Y 1 N <br /> Address <br /> `��y �Q(/f�� �✓ � C6 � �j License# '�t���S_�,��� � <br /> PLUMBER COMPANY <br /> SIGPIATURE REGISTERED Y/ N FEE CURRFA Y/N <br /> Addreas License# <br /> MECHANICAL COMPANY <br /> SIONATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address Llcense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plens;(1)set of Energy Forms;R-O-W Permit for new canstrudlon, <br /> Minimum tan(10)workirig days a(ter suhmiltal dete. Required onsite,ConsWc6on Plans,Stortnwater Plans w/Sllt Fence Installed, <br /> Sanitary Facllilies&1 dumpster;Sfte Work Permit(or subdivislonsllarge prajects <br /> COMRAERCIAL Attach(3)complete sets of Bulldfng Plans plus e Life Safely Pege;(1)set of Energy Fortns.R-O-W Permit For new construction. <br /> Minimum ten(10)worhing days after submittal date. Required onslte,Constructlon Plans,Stormwater Plans wI Silt Fence installed, <br /> Sanitary Facllities&1 dumpstec Site Work Pertnit for all new projects.All commerclal requirements must mee[compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "••PROPERN SURVEY raqulred for all NEVJ constructlon. <br />-- - =-e o_w-e_._a.a '-�-°-�-a-e_�-•.•-•-•.._.-...,.,_. .-. . . . .-o o-o . _ <br /> DlrecHons: _ <br /> Fill out application completely. <br /> Owner&Cootracror slgn bacic oi appl(caqon,riotarizeJ <br /> N over 52500,a Notice of Commencement Is requlred. (AfC upgrades ovar 37500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wfth notarized letter from owner authorizing same <br /> ___ ._AVER7HE_COUNTER.P_ERMITTING—_(Fmntof_Appllcatlon_Only)--_- ---.-- - ------------------- <br /> Reroofs If shingles Sewors Service Upgradas A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter If on public roadways..neads ROW <br /> I <br />