Laserfiche WebLink
��r,����� City of Zephyrhill� Permit Application Fax-813-780.0021 <br /> 8uilding Department <br /> Date Recelved Phone Contact for Permittln <br /> Owner's Name — Owner Phone Number � � <br /> Owner's Address �� D � � Owner Phone Number <br /> Fee Simpls Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addres� • <br /> JOB ADDRESS � � c� � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTdINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR , <br /> PROPOSED,USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q' FRAME � STEEL Q <br /> DESCRIPTION OF WORK �`j� C" G '� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION�OF TOTAL CONS7RUCTION <br /> QELECTRICAL $ ` � AMP SERVICE �� PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ ��O <br /> �J ��N <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� l�� <br /> QGAS Q ROOFING .Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPi4NY� <br /> SIGNATUItE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY O` 1 ' �L—L�\� � C� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s License# '� 'L � ' <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CIIRRE� Y/N <br /> Address Ltcense# � <br /> MECHARJICAL COMPANY ' <br /> SIGNATURE REGISTERED Y./ N , FEE CURRE� Y/N <br /> Address License# <br /> OTHER �COMPANY <br /> 51GMA'TURE REGISTERED Y/ N.. FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2).PIoti.Rlans;(2)sets.ofi�Building`Plans;(1)sef of-Energy�Foims;R-O W Perinit for new conshuction, <br /> Minimum:ten.,(10):working;days-after:submittal date. Requlreil onsite,Constniction-Plans;Stormwater�Pians w/Silt Fence installed, <br /> Sanitary FacUlUes:&�1=dumpster,Site Work;P,ermit for subdiVisionsAarge proJects - <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor new construction. � <br /> _ Mintmum ten(10)wortcing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Permit for all new�projects.All commercial requlrements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Enginee[ed;Plans. <br /> •'••PROPERTY SURVEY reyuired for all NEW construcUon. <br /> Directions: - ' <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of appllcaUon,notarized <br /> If over�2500,a Notice of Commencement i�required. (AIC upgrades over ST500) <br /> " Agent(for the contractor)or Power of Attomey'(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driv�ways-Not over Counter If on public roadways..needs ROW <br /> r <br /> , �: <br /> ; � . <br /> +.P. , <br /> ,. __ ... ..,, �-- � -. ,..,..._ .. -' _,.___�._,..____..__<_ _.....__.._�.a___,:>.__.�..,,.._.�-,._,..., .n....�.:....a.. .. -.. <br /> .,. ...:.,.._ .� .,. <br /> � . . . .._ .., <br /> .__---_.._.....,.._.�_...__=----_n...._.._�...c_,.__...._-- <br />