Laserfiche WebLink
Pr <br /> 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received I r a Phone Contact for Permitting <br /> owner`s•Narne. t 4_1 v/S lam ' Owner Phone;Number. <br /> Owner's?Address ?S Owner_Phone Number' <br /> Fee Simple Titleholder Name` Owner phone'',Number' <br /> Fee Simple Titleholder Address �,q <br /> JAB ADDRESS I O! ' " LOT# <br /> SUBDIVISION PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEW.CONSTR - -ADD/ALT SIGN [� [� DEMOLISH <br /> e• INSTALL e .REPAIR,, <br /> PROPOSED USE Q SFR' 0 COMM" OTHER <br /> TYPE OF`CONSTRUCTION 0 ',BLock Q: FRAME, Q STEEL - Q <br /> DESCRIPTION OF WORK 1&&_Vn4aIccet 0 //1 &ks d exoe S!Z'7° <br /> BUILDING SIZE . _ SO FOOTAGE= HEIGHT <br /> 7BUILDING $ VALUATION OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL $ �D AMR SERVICE Q,_ PROGRESS.ENERGY Q. , W.R:E.C. <br /> =PLUMBING $ �J �� `°'' <br /> 1O0 <br /> Q VALUATION OF MECHANICAL INSTALLATION <br /> MECHANICAL —� 0 <br /> =GAS Q ROOFING Q SPECIALTY,,] OTHER <br /> FINISHED FLOOR-ELEVATIONS FL'OODZ-ONErAREA =YE$'_7+ NO=L-=',- <br /> Ai <br /> j�� j�� J—..t>Yytu' i:'ic`tr✓Y:��•`:'{ins <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED. Y./..N., 3,:% FE <br /> nse <br /> Address ((/ �/U Lice :# <br /> .. '4.L:.'1 iliRi: - <br /> ELECTRICIAN ,COMPANY., <br /> SIGNATURE REGISTERED Y/.N :, ,}FEE CURREA Y/N <br /> Address , <br /> - en se'# <br /> Y:•il,t. t. <br /> RLUMBER COMPANY <br /> SIGNATURE. REGISTERED Y 7-,X'-;'. 'FEE GURREN <br /> Address "License# <br /> MECHANICAL COMPANY <br /> SIGNATURE' REGISTERED" Y,4-' `' FEE-CURM <br /> Address :-License#; <br /> OTHER. COMPANY <br /> SIGNATURE REGISTERED. ..FEE CURREI% <br /> Address Ucensei# <br /> RESIDENTIAL Attach(2)',Plot:Rlans;,(2),sets:..gf,Building P,lans;,(1),set,,gf.Energy Forms;R-Q-W;Permit:for-new-construcUon, <br /> Minimum ten(10)working days'after'submittal date. Requlred''onsite;Coristriiction'Plans;Stannwater Plans vu/Silt Fence;iristalled, _ <br /> Sanitary Facilities&1 dumpster,Site Warts Permit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufe.Sefety.Page;.(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working;days aftencwbmtttal-,,date.::Required onsite,Construction Plans;;Stormwater Plans.w/Silt Fence installed, <br /> Sanitary.Facilities&'1 dumpster:Site Work PermttJdr all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of°Engineered^Plans: <br /> ****PROPERTYiSURVEY:requtredJor,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. (A/C upgrades over$7500) <br /> *' Agent(for the contractor)or Power of Attorney(for1he 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 Sentice'Upgrades A/C, Fence (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />