Laserfiche WebLink
s�saao-aozo City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> ` � Building DepaAment <br /> Date Received phone Contactfor Permittin �� -. ��6� <br /> Owner's Name ti�V � J �C 4�}�1r1 Owner Phone Number ��J^ �2� <br /> Owner's Address e..b J �V��1.C1'j!� �1 Q''U.�, Owner Phone Numbar <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Slmple TltleholderAddress <br /> JOB ADDRESS �o L. �r� -t��ll,��/ Fi�.(;�'� o�. C�►1 Z LOT# J� <br /> SUBDNISION � �� � C�7�,�5 PARCEL ID# vG�L `� � ^� b. Q <br /> (OBTAINEO FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK TTV� NC�� �� ��N!'� I <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �y/ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. (^ � ,� <br /> �PLUMBING $ CL�� ��� <br /> �'l� � <br /> J <br /> �CHANICAL $��� VALUATION OF MECHANICAL INSTALLATION � O <br /> �GAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO \ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N peE cUrtrt�n Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> MECHANICAL COMPANY �°I��6r11" �r .��I��'llil 6 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��� N • �� i,Jl f'KLT til.' �� 7JJ7. License# UT� l'Tv,]� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIItlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plens;(2)sets of Build(ng Plans;(7)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construc6on. <br /> Direetfons: <br /> Fill out application completely. <br /> Owner$Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgredes over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of conUact required) <br /> Reroofs If shingles Sewers Servfce Upgrades A/C Fences(PIoVSurvey/Footage) <br /> D�Iveways-Not over Counter if on public roadways..needs ROW <br /> I� <br />