Laserfiche WebLink
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �° �—�� <br /> Phone Contact for Permittin _ <br /> Owner's Name � � ���C��� ' ^ ' l� �lr,(. �Ow erPhone N mber. —3 D— �� � � <br /> � <br /> �.._ — _......�_. <br /> Owner's Address � ]�Z Z�� � s �r 3 - 7`f-3 - 3 i�3 <br /> �L . `�' Owner Phone Number <br /> Fee Simple Titleholder Name � �CW Owner Phone Number � <br /> Fee Simple Titleholder Address 77 Y� L✓l� Z E � <br /> JOB ADDRESS �?�J Z Z V-I-�l E ��! � S LOT# �� <br /> SUBDIVISION , PARCEL ID# i0���'��dp��-�(��'��-- � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B New coNSrR 8 ADD LT [�] SIGN [� � DEMOLISH <br /> INSTALL REPA <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAM . STEEL Q <br /> DESCRIPTION OF WORK %y � � � �� <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> �BUILD�N $ � <br /> ��'.. �r ° VALUATION OF TOTAL CONSTRUCTION` �!L� �� <br /> �1.�N(/ <br /> �ELECTRICAL ;a $ / �D _ AMP SERVICE �CL�IQ�1T� � pROGRESS ENERGY � W.R.E.C. <br /> r <br /> �PLUMBING / �� ��/ `� <br /> �_ W s'$ � � •�_ �.F�- /�� <br /> �MECHANICA� ,-�' $ � �7 VALUATION OF MECHANICAL INSTALLATION �� �� <br /> � � <br /> �AS � ROOFING Q SPECIALTY C� OTHER <br /> �r "T' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 2� ,_ <br /> BUILDER I J ' COMPANY ' <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 , �C"OMPANY �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> 1 <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# C —� <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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sa�itary 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 E7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TNE 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 publie roadways..needs ROW <br />