Laserfiche WebLink
813-780-0020 City of Zephyfiilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �,� �� / Phone Contact for Permittfn / / -- ��s � / <br /> Owner's Name � /(/ � p S�/7 -9NI' ( Owner Phone Number /��j.s�� <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address �� <br /> JOB AD[3RESS ti �3�/ ,� pS,f'0 /Y�' LOT� �� <br /> � <br /> SUBDIVISION PARCEL ID# S^ - — ' �—Q� d6-a�6a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q 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 <br /> BUILDING SIZE �� D� �� SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ / -�' /� �� VALUATION OF TOTAL CONSTRUCTION <br /> / F" <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��S�� �y' <br /> ���. <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � f�2 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE ReGisTEReo Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY l(� -{'��� G�' � l"� <br /> SIGNATURE REGISTERED / N FEE CURREK Y/N <br /> Address ` G �� L '�rS S`�'«�� License# rp G',S—,�S_S � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days aRer submittal date. Required onsite,Construction Plans,Stormwater Pfans w/Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster;Site Work Permit for subdivisionsllarge 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)workf�g 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 consVuction. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nota�ized <br /> If over;2500,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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />