Laserfiche WebLink
s�s-�eo-oo2o City of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> 8uilding Department <br /> Date Received ' ' Phone Contact for Permittin -- <br /> �.. <br /> Owner's Name %�i�kY'I 1 c �+ ��1� � E��l i)� Owner Phone Number �.y` �:'t.%i - � �,_' <br /> � � � l �1� <br /> Owner's Address �<<�'�� �-�r-�_1i�.r.r.4;,..'Q�r �'� 'S�'f lS ' Owner Phone Number �f�'�` � �--�!' �f <br /> Fee Simple Titleholder Name � Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �t4 (�.� LOT# �� <br /> SUBDIVISION ���V� � ',r,�'_> PARCEL ID# � <br /> (OBT/UNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK �\d�. "� �I�C.�C•� J�-� ' `_� N I. ��� C:' L� �� <br /> BUILDING SIZE � � SQ FOOTAGE�� HEIGHT � <br /> QBUILDING $ ✓- ,L, `�`,� VALUATION OF TOTAL CONSTRUCTION <br /> C' <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING a _ � � <br /> ,�)t__��, <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �` � � <br /> C 1'` <br /> OGAS Q ROOFING Q SPECIALTY � OTHER �� ;�n ` <br /> FINISHED FIOOR EIEVATIONS FLOOD ZONE AREA QYES NO <br /> G� �� � � y <br /> BUILDER '� �f COMPANY �``; ''f itfi � J . �r_ <br /> SIGNATURE !`' ' z�.-�L� � �' REGISTERED Y/ N FEE U RE� Y/N <br /> Address License# C -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PIUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 /> Address License# C <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)worlcing days aRer submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)wo►king 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 commercfal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consVucdon. <br /> Directfons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaHon,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500) <br /> " Agent{for the contractor)or Power of Attomey(for the owner)v�nould be someone with notarized�etter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppBcation Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />