Laserfiche WebLink
s�aaso-oozo City of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received ,� -- <br /> Phone Contact for Permittin _ <br /> Owner's Name /I d �(A Owner Phone Number � ,�,3',�$�O <br /> Owner's Address D�(/b /iCp�jrJ� '7 /¢'�/C /� Owner Phone Number � <br /> Fee Simple Titleholder Name 'Y / � Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS Q i r►�p�T r• �,', /S �S (� LOT# �� <br /> SUBDIVISION , PARCEL ID# 5�Z.S Z/''�d,��Ol'�t�� f7$�D fl <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 �THER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��/p ;� .�'�; � �— s �-� / � �� <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> QBUILDING $ ` � � VA�UATION OF TOTAL CONS'TRUCTION <br /> �ELECTRICAL $ AMP SERVICE �� PROGRESS ENERGY � W.R.E.C. <br /> QPIUMBING $ �% �� ,"�1 <br /> (.� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION \----`°�� <br /> .e�,� t� <br /> QGAS OOFING Q SPECIALTY � OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY 4 S Of� Thc <br /> SIGNATURE REGISTERED Y/ N FEE CU En Y/N <br /> Address � y ,(/� � ,�j,� o � � License# (,� ,� <br /> 3v6� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bulldiny Plans;(1)set of Eneryy 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 instailed, <br /> Sanitary 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 deys after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence lnstalled, <br /> Sanitary Faciffiies&1 dumpster.Site Work Permit for all new projects.Afi commercial requirements must meet complEance <br /> SIGN PERMiT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY requlred for all NEW construction. <br /> Dlrections: <br /> Fill out appUcation completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is required. (A/C upgrades over a7500) <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 Setvice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />