Laserfiche WebLink
s�3-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name /(� Owner Phone Number �� ' <br /> Owner's Address f,� L. Owner Phone Number � ����C"" ��� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS � I' , , �S �' ✓2 �— ' �� <br /> LOT# <br /> SUBDIVISION PARCEL ID* <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED � NEW CONSTR ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM [—� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK J �l�'fYZ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING a ��G, <br /> ��d. .� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> Address <br /> License# <br /> PLUMBER � COMPANY � <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 51GNATURE 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 Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadNties&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 Faalities 8�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 consVucUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notar(zed <br /> If over;2500,a Notice 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 authohzing 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 pubflc roadways..needs ROW <br />