Laserfiche WebLink
813-780-0020 City of Zephyrhill I Permit Application Fax-813-780-0021 <br /> Bullding epartment <br /> Date Rec�ved Phone Contact for ermitting -- <br /> I Owner's Name �l��/Q�� /� /L /e/� OvHner Phone Number <br /> O <br /> Owner's Address �L�/�� ���� Owner Phone Number <br /> Fee Simple Titleholder Name �� Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��o�-� o��e 7 eJV�' �"�TH LOT# � <br /> SUBDIVISION � PARCEL i # �� �� �� ���� �u� ��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR�ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � d7/� O7�Z�� '�/�IG��, � CdrYY) 6�1I�V�rj � � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION O TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> S�g <br /> QMECHANICAL $ ,/5��' � VALUATION O MECHANICAL INSTALLATIOfV �( ' <br /> �` <br /> OGAS Q ROOFING Q SPECIAL Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> BUILDER COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COM ANY <br /> SIGNATURE REGIS ERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHAPIICAL — ��� COM ANY /�f�i�S � A-/1�2C�7�5 � G'�/�/ C <br /> SIGNATURE �— REGISI ERED Y/ N FEE CURRE� Y/N <br /> Address License# �1�� ���� <br /> OTHER COM ANY <br /> SIGNATURE REGI RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of�Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Pians,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Faciflties 8 1 dumpster;Site Work Permlt for su divisions/large proJects <br /> COAAMERCIAL 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. Req ired onsite,Construction Plans,Stormwater-Plans wl Silt Fence installed, <br /> Sanitary Facilities 8�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 /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgra es over�T500) ; ' '-"" : -�"" ���°'° ��� � ^���°� <br /> " Agent(for the conVactor)'b�Poiiver of Attomeq-,(for the.owner)would be someone with notarized letter from,owner au4horizing:same ;,� •" r <br /> OdER THE COUNTER PEftMITTING •�`::(Fronf of'Applic�tipn�Orily) ' '' � - ' �� ° • -��'�' <br /> Reroofs ff shingles Seinrers � Service'Upg�ades`A/C._�-; Fences( IoUSurveylFootage) ,_... .._._._ .�,,,,, ,;,;, ,, ;,;, �;,. _F �,r.�,�„y <br />, , - . . � <br /> Drivewa s-Not over Coun�er i1�on��ublic roadwa�s..needs ROW <br /> Y <br /> P Y <br />