Laserfiche WebLink
� <br /> 813-780-0020 ,City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> + <br /> Building Department <br /> ,, <br /> Date Received Phone Contact for Permitting -- - - <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name � `R' �I � • JS�uC.I� Owner Phone Number ��� � 3 - 3`13 <br /> � Owner's Address �� �� �.�(Cihti Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� �� dL���I'�_� � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �-Y�(�.! 0 " �� ,i h-�-' i � 11'� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCl'ION <br /> DELECTRICAL. $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> � v` / <br /> OPLUMBING $ � ( <br /> �MECHANICA� $� � �D�� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING 0 SPECIALTY � OTHER �+�� <br /> _ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER - COMPANY - <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COINPANY <br /> SIGNATURE ReGISTERe� . 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 />- MECHANIC L COMPANY � �-L I � � l <br /> SIGNATUR REGISTERED Y N FEE CURRE� Y N <br /> Address , � License# l� -1 . <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED Y/ N. FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIit1111tt.1111111111t1111111.1111111111111t1111111111111I111111 <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. 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 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 all new projects.All commercial requirements must meet compliance <br /> - SIGN PERMIT Attacti(2)sets of Engineered Plans. <br /> *"'PROPERTY SURVEY required for all NEW construction. <br /> . . ._ . . <br /> Directions: <br /> Fill out application completely: ' <br /> Owner&Contractorsign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> *' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> ' OVER THE COUNTER PERMITfING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />