Laserfiche WebLink
a�3-�eo-oozo City of Zephyfiiils Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone CoMact tor Permfttln `�6 �j ._ -�jCS� <br /> . <br /> Owner's Name Ch � � � Tu nSan �J � �'{1� �� Owner Phone Number —Z-1�(-1�.1 a <br /> ^1 LA „ WP5(,,E4 <br /> Owner's Address o� C .�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �J�I� "�' �j�l I F� , �0� ��� �� <br /> LOT* <br /> SUBDIVISION PARCEL�D* � � 'a� `�l -aa j v'V�l CJL'�— �L��j <br /> (OBTNNED FROM PROPERTY TA7C NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN Q �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK A1C �C� C�u� — !q�� �}�j`J��,("� t CC,'�11-��-� <br /> BUILDING SIZE Sf�FOOTAGE U G HEIGHT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � /�f C�� <br /> � � <br /> �Q�CHANICAL $ ��� VALUATION OF MECHANICAL INSTALLATION <br /> . <br /> OGAS Q ROOFING Q SPECIALTY � 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 CURRE� Y/N <br /> Add�ess License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> MECHANICAL • COMPANY .A��R T�,C{1 S�r�1 Lt pt� P�xp . �y��• <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address P•b• �'X 1 1"eZL� �icense# e�.I�j I 5 y�� <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 Pennit 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 subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Bullding 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 consVuctfon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&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 someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />