Laserfiche WebLink
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact fo Permitting -- <br /> Owner's Name � �} �1 • Owner Phone Number <br /> Owner's Address � � -Q�� Owner Phone Number <br /> Fee Simple Titieholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS .3R��I ^ 33 ' ��J' 3�'_��-�,� I,��,r �`c. � � � -C,. Z_�� '� �� LOT.# � <br /> SUBDIVISION ,. _ � PARCEL D# i ' �b ���� (�� O <br /> � (OBTAINED FROM PROPERTY TAX NOTICE)--� � '- — - <br /> WORK PROPOSED e - NSTALLSTR�B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR . Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q ' FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �€c� p S�� �l_ K° o ; d ,r� �� �. � e � o �y��� <br /> BUILDING 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 $ VALUATION F MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIA 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER `�� CO PANY ��C Q(��� d1 �"C � <br /> SIGNATURE �" REGI TERED Y/ N FEE CU n Y/N � <br /> Address �8 ���C � d y�] License# " C �.� d <br /> ELECTRICIAN� CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> PLUMBER CO PANY <br /> SIGNATURE REGI TERED Y J N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CO PANY <br /> SIGNATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f 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 w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster;Site Work P,ermit for s bdivfsionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for al new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW constru lon. <br /> Directtons: <br /> Fill out application completely. - <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgr des over 5T500) <br /> '• Agent(for the conUactor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same , , <br /> OVER THE COUNTER PERMITTING (Front of Application Only) �*�' ��'-- ��- �� _ -��-" ���-` _y �- t �' <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences PIoUSurvey/Footage) � , , _` ,, ^-; : � _ '�,�" <br /> 'r1 '".'_ '. � .. ..: - ' 4 <br /> Drive�nrays-Not over Counter if on public roadways:.needs ROW .;.,._.��. .�`- ::..�, � � •• - � ` <br /> �a.,.w�-:-..r.a.:,.� ..-„:-�...�,...w.� ,,-_..... .. :: <br />