Laserfiche WebLink
813-780-0 t 0 City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> Buildin Department <br /> �.m. <br /> Date Received Phone Contact fo Permltting �� ��V -- � 3�� <br /> Owner's Name (%C� (' � �' �l(I((� /�/2,ISdY1 Owner Phone Mumber <br /> Obrner's Address ��5� s�t�►n i c�a.le� p ro Ovmer Phone Plumber <br /> Fee Simple Titleholder Name Owner Phone Mumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C4_I��J J (1/1 l C���G �. LOT# � <br /> �� <br /> � - <br /> SUBDIVISION PARCEL D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> !lNORK P6tOPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF INORK � C �� Y LtWI GGI� ��.� � � S� <br /> �UILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ � VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ . AMP SERVIC 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> [�MECHANICAL $ ��7,� S VALUATION F MECHANICAL INSTALLATION ��//� � <br /> O <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOOD NE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> e4ddress License# <br /> ELECTRICIAN CO PANY <br /> SIGfdATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER CO ANY <br /> SIGMATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address. License# <br /> MECIiAMICAL CO ANY �`���-2� ��� �-1 L���Lol'1 L� <br /> SIGfdATURE REGI TERED N FEE CURRE� Y/N <br /> Address ��� � Lr�� � �-/ License# �A'°�G� 0 �� L�� <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 ired onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted, <br /> Sanitary Facilities 8 1 dumpster;Site Wark Permit for su divisions/large projects <br /> CORAAAERCIAL Attach(3)complete sets of Building Plans plus a-Life Saf 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,Construction Plans,Stormwater Plans wl Silt Fence installed, � <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"`"PROPERTY SURVEY required for all NEW constructi n. <br /> Directions: <br /> Fili out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over b2500,a Motice of Commencement is required. (A/C upgra es over 57500) <br /> •` Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter ftom owner authorizing same <br /> ONER THE COUNTER PERMITTIIdG : ,- ;(Front of Application Only) ,;• :� <br /> Reroofs if shingles Sewers , Service Upgrades A/C' Fehces(� lot/Suroey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROV11;,�•;� . <br />