Laserfiche WebLink
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021 <br /> Building epartment <br /> Date Received Phone Contact for ermittin - <br /> Owner's Name r• � Owner Phone Number <br /> Owner's Address 7J Owner Phone Number �— <br /> Fee Sfmple Titleholder Name � v� � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDEtESS J�S O G� SO� �V'Ci Z� � 1�'1 l I S,�` �J�S�i Z LOT� � <br /> SUBDIVISION PARCEL 1 � 3" 2� - 2( ' (��OU� d� l00- C��vO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED F-�I N TALLSTR 8 REPAIR � SI(3N Q Q DEMOLISH <br /> U <br /> PROPOSED USE, Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK gu'�� r1�,u) ba`throovv� r. ���e�.- Q-L(� <br /> BUILDING SIZE � �2����'��2�g� SQ FOOTAGE i 52�' HEIGHT 0� <br /> QBUILDING $ 2� r �Q VALUATION OF TOTAL CONSTRUCTION <br /> J to <br /> QELECTRICAL $ AMP SERVICE �� � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a I <br /> ay}n <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� �� <br /> �, � -�� �� <br /> �- �-� <br /> OGAS Q ROOFING Q SPECIAL OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD E AREA QYES NO 3 <br /> K <br /> SIGNATURE .<=�'"°' � �� '� R OMP RED �o�7b N H I �f dE u GOV�S^I'1��N'�I py�� 1 n c.. <br /> Address �`+Z U�`S ���,r �� � F� �icense# GB C�O`4'7�25 <br /> ELECTRICIAN � CO NY ' � � l � (/�G <br /> SIGNATURE R IS RED Y/ FEE CURRE� Y/N <br /> � <br /> Address License# <br /> PLUMBER '�"`����� ���� COMP NY ��-'n'��S ���1�Q-�Y�S � � rl C. <br /> SIGNATURE REGIST RED N FEE CURRE� N <br /> Address Sti� �� � S� �,"�t��S y��- 33sKa License# ����a5�P�� <br /> MECHANICAL COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction, <br /> Minimum te�(10)working days after submittat date. Requi ed onsite,Construation Plans,StoRnwater Plans w/Silt Fence instalied, <br /> Sanitary Fadlities 81 dumpster;Site Work Permit for subdi IsionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construcdon. <br /> Minimum ten(10)working days after submittal date. Requi d onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facitlties&1 dumpster.Site Work Permit for all ne proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW constructlo <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrade over ST500) <br /> "' Agent(for the contractor)or Pqwer of Attomey(for the owner)would be s eone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Frorrt of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />