Laserfiche WebLink
s�s-�so-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> , _ Building Department <br /> Date Received � � 3` Phone Contact for Permittln -- <br /> Owner's Name �.��v ✓� �A� Owner Phone Number <br /> Owner's Address ✓ � � � � � � 5 '�" z � � � 1 S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S� Y � ` f � � Z e- �/1. ✓�? r I I S LOT # � <br /> SUBDIVISION , PARCEL (D# 1 1 " Z�O " Z�' �V l v� f ZObC�— C��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �C� V��7 VU �S �� 1 e'i �J <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ /� �� v v� VALUATION OF TOTAL CONSTRUCTION <br /> lq ( <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � o ��� <br /> �PLUMBING $ �,dy, �' �� � ! / �UC �� � (/ <br /> �(.9/ „�(" p OrJ�— <br /> i`� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONC% f/_ <br /> 0 �o� ����. ; <br /> OGAS ROOFING Q SPECIALTY 0 OTHER �� L <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ` License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER ,�.__. COMPANY GJ � �� jJL-//ti�w- � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �°t+ �� ��6 J�h v �( ����� License# � 7 ��� <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 /> 5anitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) 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 Facilides & 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 /> Dtrections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over;2500, a Notica of Commencement is required. (A/C upgrades over 57500) <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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />