Laserfiche WebLink
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021 <br /> Building epartmen� <br /> Date Received Phone Contact for ermitting — <br /> Owner's Name W d�1�.��(��1� � Owner Phone Number ' <br /> Owner's Address �� V(.�X q y$ C � � (p Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addre / <br /> JOB ADDRESS -�1�1 j LOT# �� <br /> SUBDIVISION �1 � PARCEL ID •a�,Q�p! ` • —��a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CoNSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �Q�OC�� <br /> BUILDING SIZE SQ FOOTAGE N�� HEIGHT <br /> [�BUILDING $ VALUATION OF OTAL CONSTRUCTION"5q�� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF ECHANICAL INSTALLATION ( (`� �,� <br /> � l <br /> V� <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> BUILDER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> ELECTRICIAPI COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPA 1 !U S �C <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� /N <br /> Address ��� ���V� b3 License# � j <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ene gy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfre onsite,Construction Plans,Stormwater Plans w/Silt Fence-installed, - - <br /> Sanitary Facilities&1 dumpster;Site-Work Permit.for sdbdivis ons/large projects <br /> I- COMMERCIAL Attach(3)complete sets obeuilding P`ans plus a Life Safety P ge;(1)set of Energy FormsaR-O-W Permit for new construction. <br /> Minimum.ten�(1�0)wo�kirg days aftel.sub�}Jtt�l date. Require onsite,Construction Plans,$tormwater Plans�d Silk Fence installed, <br /> Sanitary Facilities&1 dumpster.Site 1%Vork Permit for all new rojects.All commercial requirements musYmeef'compliance <br /> SIGN PERMIT Attach(2)s`et�o n�et,kd�'la`s.s�;y'� �������.,i` •� �f�•�a:��`�:� p;;;`Y;�^;,`;� ��_;�j.� <br /> - "` PROPER ��V�Y req�ired�or all�IEW constr ction. <br /> - ---...._�__..— -._ + <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor si n bac o a lication�notarized� - ! ^ •• � • .--. ' <br /> 9 tf PP : � . , , � <br /> If over$2500,a Notice of Go :m�q�e��i_s"required.�_(aAlF,�p���e�s;o��er$7500) s; �� .��,v_°_-_,' ;�: . _ V,�. �`..�`� �A� •' <br /> ** Agent(for the contractor)or Power of Attomey(for the owner)would be som one with notarized letter from owner authorizing same � <br /> �, �- <br /> OVER THE COUNTER PERMITTING - _ (Front of Application Only) <br /> Reroofs if shingles Sewers, Service Upgrades A/C Fences(Plot/S rvey/Footage) _ <br /> Driveways-Not over Counter'if on public roadways..needs ROW , , � <br />