Laserfiche WebLink
813-780-0020 City of Zephyrhill5 Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone•Contact for Pera ilttle — ! <br /> Owner's Name V Owner Phone Number <br /> Owner's Address q L000 U3 Owner Phone Number <br /> Fee Simple Titleholder Nam® Owner Phone Number <br /> Fee Simple'titleholder Addressr <br /> JOB ADDRESS CAQ <br /> I i � �' LOT S <br /> "01 SUBDIVISION �� � PARCEL ID <br /> ff �� 1 _ �' Vtf <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED ' .e NEW-CONSTR' ADDIALT' [, SiGN Q DEMOLISH INSTALL 8 REPAIR <br /> PROPOSED�USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q. BLOCK [� FRAME �' }[� STEEL <br /> DESCRiPTION OF WORT#•: {i i t \ <br /> BUILDING SIZE SC!FOOTAGE HEIGHT _____ <br /> =BUILDING 1$ VALUATION"OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ <br /> � � <br /> =MECHANICAL VALUATION-OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING _Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> ................ H+ <br /> BUILDER COMPANY` <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N ` <br /> Address Udense# y� <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE ' REGISTERED Y/ Nj FEE CURREh'-"' `YY/N <br /> Address License#(; <br /> PLUMBER GOMPtY (� ? 1 Y 11 <br /> SIGNATURE {,� REGISTERED Y./:.N FEE cuR'REh-- G YM <br /> Address [ U i 1cense,# <br /> MECHAN)CAL GOMPIlAiY . <br /> SIGNATURE REGISTERED Y I N FEE CURREh: - . Y/N <br /> Addre", = - <br /> License#F7 � <br /> OTHER .COMPANY <br /> SIGNATURE <br /> REGISTERED Y 1 N.:., FEE CURREt. Y/N <br /> Address License# <br /> RESIDENTiAt:.; ' •Attach{2);Plo€;Platfs�(2)sets:off3ililding�`P.lans (.1j'sef of'Energy:Foiiits R=O-IIU Permit fer;new construction,- <br /> .Minimum.ten(90)<uyoriling drys after,"subinitfat"da#e°Required orisite Goinstnic on Plans;St&mmwater Plans 4 Siif Fence installed, <br /> Sanitary Facilities+&;t;dumpster;Stte'WorkPemtit for subdivisions/large`projects <br /> 'COMMERCIAL Attach(3)completesets of wilding 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,mustmeet compliance <br /> SIGN PERMIT Attach(2)"set6 of'Engineered�Plaris.-. . <br /> --PROPERTY.SURVEY required for all NEW construction. <br /> ------------------------ <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is rewired. (AfC upgrades over$7800) <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-Applicallon Only) <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 />