Laserfiche WebLink
a�s-�eo-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received /—�j--� �i phone Contact for Permfttin __ <br /> Owner's Name • Q�6�f e Owner Phone Number ���'� l— �� <br /> Owner's Address Y�� /O!.(�. �i� _� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADORESS �O!�G� �1�1 G(` �N t' �� �P �/(� � �C LOT� 0 Q2 <br /> SUBDIVISION � PARCEL iD# � — Z'��Z�` C3V gO— �C�C�v— 7(�jZ,p <br /> (OBT/VNED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK� Q FRAME Q STEEL <br /> ' o <br /> DESCRIPTION OF WORK �e�0�i e `h � � Gu fc� Gt�!Gt�Gy/ <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING S %�D VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a ��j) � <br /> � v <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER / t �� COMPANY C����"G�� <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# � —� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new consUuction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities�1 dumpster;Site Work Permit for subdivislons/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 afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permlt 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 consVuction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,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 sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />