Laserfiche WebLink
_ :�813-780-0020 City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> �, Buildin Department <br /> Date Received Phone Contact fo Permittin -- <br /> Owner's Name �L�%�i� �Q �.� Owner Phone Mumber <br /> Ourner's Address �`�3 ����° Owner Phone Number ���" ��g"��� ! <br /> Fee Simple Titleholder Mame Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JO�ADDRESS �g� �rl��" �T� LOT# � <br /> SUBDIVISION PARCEL D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lNORK PROPOSED � NEW CONSTR e 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 Q STEEL Q <br /> DESCRIPTION OF WORK �'��G O <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �n. <br /> a � <br /> OMECHANICAL $ �Q�b VALUATION F MECHANICAL INSTALLATION � �� <br /> 1 e <br /> QGAS Q ROOFING Q SPECIA 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGMd1TURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAM CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUAflBER CO PAIdY <br /> SIGMATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# <br /> MECHANICAL � CO PANY '(� �TEC�E'4 �J� tS ' <br /> SIGRIATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address 4�•� �1 a6 z� �i �i�s •�i�5 � License# G��- ,`�1C7��� <br /> OTHER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> _ RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit for su divisions/large projects <br /> COMRJIERCIAL Attach(3)complete sets of Build(ng Plans plus a Lffe Sa ty Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Re uired onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties&1 dumpster.Site Work Permft for all ew projects.All commerc(al requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consVuot on. <br /> Directtons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgra es over a7500) <br /> '• Agent(for the contractor)or Pbwe�of Attomey(for,the owner)�would�be someone with notarized letter from owner authorizing same <br /> F,. <br /> OVER THE COUNTER PERMITTING :;"� ':(Front of Application;Only)::�. <br /> Reroofs if shingles Sewers i, Serv(ce Upgrades'PJC '-:';=Fenceg( Iot/Survey/Footage) <br /> �.� , i. �... -. . ��i f.�.�� _ .fY`-.£ <br /> Driveways-Not over Counter if on public roadways..needs�ROWN <br />� <br />