Laserfiche WebLink
a,3-��u-oozo City of Zephyr ills Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> Owner's Name �C(5� .SSp e Ovuner Phone fVumber p �� ���—��,j Z <br /> Oevner's Address � � s� Ovener Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �-3S ~ ( � sl LOT# �� <br /> SUBDIVISION PARC L ID# <br />-- -- ---=_---=-=-- -- - - - (OBTAINED FR�OM PROPERTY T�TicE)DEMOUSH ' <br /> WORK PROPOSED e NEw CONSTR 8 ADD/A T � SIGN <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 • B'LOCK Q FRAM 0 STEEL Q <br /> / r r <br /> DESCRIPTION OF WORK (7 ��� 1� t�C� <br /> BUILDING SIZE �FOOTAGE 2D HEIGHT 6 <br /> QBUILDING $ � �� � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVI E [� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> `��1� <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION �C � J <br /> QGAS Q ROOFING [� SPECIA TY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PANY C'(�/I� �C L-C' <br /> SIGfVATURE REG TERED Y! N FEE CURRE� Y/N <br /> Address ��1,�� Gt .SJ/Ce L/U License# <br /> ELECTRICIAM CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER CO PAMY � <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAfVICAL CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for su divisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Sa ty Page;(1)set of Energy Forms.R-O-W Permlt 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 Faciflties&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 construct n. <br /> Directtons: , <br /> Fili out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgra es over S7500) <br /> .�. 'J'•.:t-=�-.._. -,. _.. ._ ..J�_..J <br /> •' Agent(for the contractor)or Power of Attomey,.:(f6r the owne�):-1iVauld.be omeone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING` ';;.�(Front of Application Oniy);�;? <br /> Reroofs if shingles Sewers�� ,,,-..Sejvice;Upgrades:.ALC���� �,Fences( IoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW~ <br />