|
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
<br /> � `� Building Departrnent .
<br /> Date Received `
<br /> �° Phone Contact'for.Permittln — ` ` -
<br /> Owner's Name � !l �� Owner Phone Number �� `"► � ���
<br /> Owner's Address � �� 1� Q�� � � Owner Phone Number
<br /> Fee Simple TitleFiolder Name � ' � Owner Phone Number
<br /> . 1 -
<br /> Fee Simple Tltleholder,Addresa
<br /> JOB ADDRESS LOT# �
<br /> SUBDIVISION � PARCEL ID# '
<br /> � . (OBTAINED FROM PROPERTYTAX NOTICE)
<br /> WORK PROPOSED. ;..NEW CONSTR ADD/ALl' Q` SIGN' Q Q, DEMOLISH
<br /> '-B= INSTALL 8 ^ REPAIR
<br /> PROPOSED.USE _ Q SFR Q �COMM Q -OTHER
<br /> TYPE OF CONSTRUCTION � Q" BLOCK " Q FRAME Q STEEL 'Q
<br /> DESCRIPTION OF WORK-' Y -S�� � 'U �p � � � ` ' �- �
<br /> BUILDING SI2E `SQ FOOTAGE�_ . _HEIGHT
<br /> QBUILDING , $ VALUATION:OF�'1'TOTAL CONSl'RUCTION 'A -
<br /> �ELECTRIGAL $ s� �O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ,
<br /> �]PLUMBING $ �
<br /> �� �
<br /> QMECHANICAL ' $ VALOATION OF.
<br />� . MECHANICAL INSTACWTION
<br /> D�S Q ROOFING Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO
<br /> BUILDER � COIIAPANY� � � ' �V . - � .
<br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N�
<br /> 6lddress � Gcense#' -
<br /> ELECTRICIAN: : � � ,-COMPANY ' - �
<br />, SIGNATURE � REGISTERED Y/ N FEE CURRE�•� � ' �Y/N�
<br /> Addresa ' � � ` ` ; . License�# � - '
<br /> PLUMBER '� � COMPANY � ' °
<br /> SIGNATURE" '" ' REGISTERED Y.L.N: ,- :FEE CURRE� ",Y./N. -�
<br /> Address � License# -_ .
<br /> MECHANICAL ' ' COMPANY ' . .
<br />' SIGNATURE� - � ' ' ' � � '`- REGISTERED , Y,/ N � FEE CURREA. X/�N , , ,
<br /> Address: . - , • � , �; ..�� ' ' . ; .. � License# , .
<br /> , „ ,: , . � . _ . . _ -�. .,. , .. _
<br /> I� OTHER ' - - ` _ � � `: ',COM,PANY ' . . � '..
<br /> ,,,. , .
<br /> SIGNATURE ..- r' � - - � " `REGISTERED` ` ' 'Y/ N_.. ' FEE"CURRE� Y/N
<br /> 'Addres� ,ry =.� - - - ' E. �' , . Li6ense# ` � �-� � �_ .
<br /> �.,. ...... :.�,. .. �.i,., :-�. .
<br /> RESIDENTIALt�;;-;`:Attacli`(2)vP1o.t�Pians,;..(2)sefs;of'Building�Plans;(1)sef'ofEnergji�Forins;'�R=O-WPer_mlt�fornew.construction,,_ '''_�,`,',,;'' _ ' ,
<br /> F--Minimum;ten,(10):worktng;days,aiter su6mittal`date':s.Required'onsite;Constructlon Plans';'3tortnwate'r Plans w/SfIE Ferice ins�lled,�
<br /> _ `SaniEary�Facilitiesr&o-,13�dumpster~SIte�Work..,P,ertnit#or sutidivisions/large�projecfs`;;:_:_;;��; �.- " . .;.;'�,.�,°" .,' •�::.'.;i.•' � " '
<br /> COMMERCIAL Attach(3)`complete sets of Buitding"Plans plus a Cife'S'afety.Page;.(1)set of Energy Forms.R-O-W Pertnit for new constniction:•��' - - -
<br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence Installed,
<br /> Sanitary Facilitles 8 1-dumpster.Site Woric Pertnit for all new,proJects.•All commerGal requi[ements_must meet compllance�^'� � • --
<br /> SIGN PERMIT AttacFi'2 set§'of`Eri"�ineered Plans:,,��, � - - . • �,,. � . . , -°k`-"..> �
<br /> - � )'� 9.. - . _
<br /> ,, .... .,. '
<br /> "••PROFERTY SURVEY repuired„forall NEW construction,,, - ,_. .__ _ .. `.- - -
<br /> Directlon�: , ,;1 �, . ,- . • _ • �.
<br /> � Ftll out applicadon completely.
<br /> Owner 8 Contractor sign back of appl(caUon,notarized
<br /> If over a2500,a Notice of Commeacement la requlred. (AIC upgrades.over 57500)
<br /> �R '�.�::.�.:'.I:%:�:��: _ . _' _.. '
<br /> Agent(for the contractor)`or Powe�of'Attomey(fo�the'owner)would be someone with notarized letter from owner authorizing same
<br /> �'.' ,.
<br /> � _ , ; :-:;. .,�
<br /> • 1..:3.�� .
<br /> �VER THE COUNTER.PERMITIING�-� -----(Front of�Application Only):--��-• •� � �' • � ` "
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) _
<br /> . ., .� - . _ - . .. �G.-erb.n:T.':.-•JYa:Y_n. �r..e .�s .. <__
<br /> Drivewaya-Not overCotYnter`If cin°pUtilic roadway§::iieeds ROVII-"`�°f, �� 3 �- - fi���� � � ` - _ -
<br /> 3 _i . � ; =.(��,-;i: .,. , �_, , . , � ,..
<br /> � � � - i� ; t�';_'�� _�: , . .� _ - �
<br /> �s :��'. . � „ .,} '� �' � ,i` , � ,�- � ,.., • r.,.� � , ' �
<br /> br-._�,,:...�,�.. ,.. .�,�_....,�._ ,r. _ . �. ��:,:.'�< . _ i' "�-��-�»,••._ � .., .�..,F._. _ ;� �_ -' �i
<br />
|