Laserfiche WebLink
8'13-760-0020 City of Zephyrhil fs Permit Application Fax=813 780 ao21 <br /> Building Department <br /> Date Received1 � <br /> Phone Contact for Permitting -- <br /> -I TfT1t—t—T I[— ll p <br /> Owner's Name �r! G? t� n = Owner Phone Number try f! <br /> Owner's Address (�t+�Qa,�t` �e- ' '"" p�'� �� ^����� " 2Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS t(J �{ S t 3 Sy LOT# <br /> SUBDIVISION "G CA Ci PARCEL ID# q`,A�- 5C 1 lJUQ7 2 30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED,USE SFR 0 COMM OTHER• <br /> TYPE OF CONSTRUCTION • [ % .'BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK ��t't� � ��' � C_, <br /> BUILDING SiZE �— �1 SQ FOOTAGE HEIGHT <br /> =BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> MECHANICAL <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION <br /> U <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .4-�-➢--0-��-•F-i--➢-F-i'-I-k•�-a-"�-�'-I-➢--4-�'-➢-�--�-➢-�--&�C-�r-e-➢-�-'v-»0-v�'-i�-i�•G••i•+8-"�1-v`i-'�-�--�'-➢�-�`�➢-➢-➢-➢�-;�➢z-"v�°�°a�" Qom' -➢--➢-a-� <br /> BUILDER � COMPANY - B-�CU " "c, "`y f C <br /> SIGNATURE REGISTERED Y/ N FEE CURRER <br /> L9 License# <br /> .E.LECTRICIA( ( -- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREE*R Y/N <br /> Address 4f d 57 �=of t° s` 4 License# <br /> PLUMBER COMPANY <br /> .SIGNATURE REGISTERED Y( N FEE CURRER Y/N <br /> Fa 6"' <br /> Address f� �i� tx� r License# C 0&-2"5 <br /> MECHANIGAL COMPANY 1'"���( f~ '� �d� °r�� ., <br /> SI GNAT URE (-� '� -'--REGISTERED N FEE CURRER Y/N <br /> Address _5_'702 AG'-"'1-o , CV License# 1 <br /> . � <br /> OTHER. }', -- COMPANY red 9 C%��� <br /> SIGNATURE -/ REGISTERED Y/ N FEE CURRER Y/N f <br /> Address fC'- � °n � �� License# <br /> liiiillllllllllllli ! ➢ 1 ! ! 1 ➢ liiill ➢ ➢ ➢ Ll111llilllllit .I ➢ I110i ➢ IBI ➢ ➢ ➢ I ➢ ➢ <br /> •RESIDENTIAL Attach(2)Plot Plans; (2)sets of Building Plans;(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,Stormwater Plans w/Silt,Fence installed, <br /> Sanitary Facilities&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,Stormwater 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 construction. <br /> ..Irections..1_-6-6-➢-t-i-i--i..i�.l-.i={-I-�-b-I.-l..1�4-b-f-➢-�-�-E-.9..F-4-A.-6-6-8-4-8..6.-l�.lF-.B-�-l-ll-d.-➢--3..6-.E--d�-8-➢-t-�➢•�i�..�.@�I6�➢�6�..0-6.�. <br /> Directions; <br /> Fill out application completely. <br /> Owner�Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencemeht is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Surrey/Footage) <br /> Driveways-Not over Counter if on public roadways.,heeds ROW <br />