Laserfiche WebLink
813-780-0020 City of Zephy►-hilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received l� _j /!� __ ✓2� <br /> `��� hone Contact for Permittin ��-� <br /> Owner's Name v.� �� �S3 i?i Owner Phone Number 78� "'�/o "��� <br /> Owner's Address �� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number �- <br /> Fee Simple Titleholde�Address <br /> JOB ADDRESS ���6 � ��� /�C-�'`'I ��-- LOT# � <br /> SUBDIVISION �' jvP`��� PARCEL ID# Q� ��lo ��� ��� ��Sla <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C,i!'/'lI'C � (�- <br /> BUILDING SIZE �� X �v gq FOOTAGE �� HEIGHT S� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ _� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> [�MECHANICAL $��� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILOER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> EI.ECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL �2%iZL^� R OMPE NY " // G F/ 1 �E" " �N %�G <br /> SIGNATURE <br /> Address ��P�� ��'+�"'�S /c� �a�P�''/ License# ���D 5�17 <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(Z)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,Constructfon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facflitfes 8�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 Permit for new construction. <br /> Minimum ten(10)working days after subm(ttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""*"PROPERTY SURVEY required for all NEW consVucUon. <br /> Directions: <br /> Fill out appUcation completely. <br /> Owner&Contractor sign back of appflcation,notarized <br /> If over E2500,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> '" Agent(for the conUactor)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 Upgtades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />