Laserfiche WebLink
R�s-�so-oozo City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> Owner's Name �t-- -S�� �/7,�� Owner Phone Number <br /> Owner's Address �3 /�J l� C���E'� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��3l C�l��l�t C–� 2�1v/'� �/L�f LOT# � <br /> SUBDIVISION �— PARCEL ID# �. �. 6 �I 4'D � � ? O D � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONS7R e ADD/ALT Q SIGN Q [] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �C�Y2 Q "`9� /�. '�� //✓,sr,�GL � 'To�f,�' •-�id�Q�Cf"�Sf f'l�;,�'„ 1 <br /> BUILDING SIZE �--� 3Q FOOTAGE� HEIGHT �� <br /> QBUILDING $ � ��► '�-" VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �'fi/'p� , <br /> ��� 4EJ,�J , <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALCATION�---•--�� <br /> �____--- <br /> OGAS ��ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � y� <br /> BUILDER �„���t ' COMPANY ��r'h''� /t-.����'�' <br /> SIGNATURE ff� REGISTERED Y! N FEE CURRE� Y/N <br /> Address �i �� x' �� �f�.B� L'% .� License# ��oo Y6zy� <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consUuction, <br /> Minimum ten(10)wo�lcing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisfons/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,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for all new proJects.All commercfal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *•""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application compietely. <br /> Owner 8 Contractor sign back of appiication,notarized <br /> If over S2S00,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> "' Agent(for the conVactor)or Power of Attomey(for the ovmer)would be sorpeone with notarized letter from ovimer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon 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 />