Laserfiche WebLink
813-780-0020 City of Zephyrhi I Us Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Racalve.d Phone-Contact for Pe.rmittlinW-1 CO- I <br /> +rrrrr: - <br /> Owners Name Aim)6 Owner Phone Number --J <br /> Owner's AddressIgLow 0 --Cq Ixess Owner Phone Number F <br /> Fee Simple Titleholder Name. -Owner Phone Number <br /> Fee Simple Titleholder Address <br /> . —7 JOB ADDRESS 2)ND 0 M000 HDIIDW DK - LOT 0 <br /> SUBDIVISION h(Ader Pilvf PARCEL IDO - 1 LQ(OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONST ADDIALT' SIGN- DEMOLISH <br /> ..R INSTALL RR REPAIR <br /> PROPOSEDIUSE Q SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F_ ISQ FOOTAGE HEIGHT <br /> Iloilo <br /> =BUILDING $ VALUATION-OF TOTAL CONSTRUCTION <br /> =ELECTRICAL -is MP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> 1$ q0D <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Lit N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREI, <br /> Address Lloense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN I `Y`1 N <br /> Address eil ern Ucensei U 5- S <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y./ N. FEE CURREK <br /> Address License# <br /> OTHER COMPANY' <br /> SIGNATURE REGISTERED Y N FEE CURREN <br /> Address License# <br /> ... ........................ <br /> RESIDENTIAL- Attach'(2)Plot Plans,(2)sets of (1)set of.-EhergyFo s;R-Q-W Permit for new construction, <br /> Minimum J'an(-10)worklpg days after submittal date.;Required onslte,*Cohstructlbn-Plans;StormwaterPlans w/Silt Fence installed, <br /> Sanitary Facilities&j.durripster,Site:Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building 12166S plus a Life Safety Page-,(1)set of EnergyI I 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 Engirteirod'Plans. <br /> -**PROPERTY SURVEY required for all NEW construction. <br /> I IFNI, 11gill Jill 11 11111111111 MI'll ;3� <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 /> to, 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 ..(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter iff-pri public roadways-needs ROW <br />