Laserfiche WebLink
i <br /> 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> .DateRecelved Z P�ho�ne/ContactforPermittin `(ILL" O ` Q <br /> Owner's Name �' p r0 Owner Phone Number 13 CT7 Z�V JS <br /> Owner's Address Z5511 ew_muir Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L/O,T/#y� <br /> SUBDIVISION PARCEL ID# 11 1' O I 0-1 VOC O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> ;Rn—BUILDING 15/_I� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ \, l <br /> =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION i <br /> =GAS t!!g, ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER — COMPANY <br /> SIGNATURE ..- REGISTERED I Y/ N FEE CJ1REK I Y/N <br /> Address U Tm wyoLicense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y I N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Address 7771 r License# <br /> MECHANICAL I COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN 1 77 N <br /> Address 1 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN I Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Stor mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 8 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />