Laserfiche WebLink
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permitttn — <br /> Owner's Name Owner Phone Number <br /> Owner's Address � �� Z � �m�i�C " `�wner Phone Number <br /> Fee Simple Titiehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / fQ � r LOT# � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT iN � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR �— <br /> PROPOSED USE � SFR COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK C_Ld�1 I�� ^ dY EE�� Q s D �U/�! CQ,I� <br /> BUILDING SIZE �— SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ � �/ �S'X�. VALUATION OF TOTAL CONSTRUCTION <br /> �u u <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ `� �`���J <br /> I � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , y I`I ��� <br /> �i� �y. <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER � y�Ci/ <br /> J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��-�--� <br /> BUILDER � �� f I m J�/� COMPANY ��-��C"� 'S��10�/25' ��L.C <br /> SIGNATURE In U•� REGISTERED Y/ N FEE CURRE� Y/ <br /> Address � ' License# W�j'� � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ,_Licens � <br /> PLUMBER � COMPANY <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N <br /> .(t�a � <br /> Address License# � <br /> MECHANICAL COMPANY ��/i/ /�O wCQ'� Q,� ��G, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ?S Tc� Gw�r�/9t.�' �(i.o�pd//� License# ��Y Ug�J 7�� <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. Requi�ed 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 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 ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*'*PROPERTY SURVEY required for all NEW construcGon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&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 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />