Laserfiche WebLink
b13-78Q-002D City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name � Owner Phone Numbe I - <br /> Owner's Address c.�g�1 . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � "'1 � C�'}', j l � 1` LOT# � <br /> SUBDIVISION � PARCEL ID# I �,Q ���O I�O' d� �� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � /��!(� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � MOVE Q D MOLISH � <br /> INSTALL REPAIR <br /> PROPOSED U5E � SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � OTHER <br /> DESCRIPTION OF WORK ��Z � , Ia <br /> BUILDING SIZE SQ FOOTAGE�—_� HEIGHT � <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> � PLUMBING $ <br /> -�/ �� z � <br /> � MECHANICAL $ � �� VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS 0 ROOFING 0 SPECIALTY � OTHER ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES ONO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y!N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL COMPANY `— �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y <br /> Address � � � t �c� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> RESID�NTIAL 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 /> Sanitary Facilities 8 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 construciion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> IF over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> '" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> ❑riveways-Not over Counter if on public roadways..needs ROW <br />