Laserfiche WebLink
sis-�so-oozo City of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> IDate Receixed <br /> • Phone Contact r Permittin -- <br /> O�nrner's fdame �,JQ r ar i � .�� h(�y'�', Ouvner Phone Mumber <br /> i Ouvner's Address 1 c��i�r f��m�c.G�►' �e'f�JVYL�Q 1�I 1 ��� ( Obmer Phone Fdumber <br /> Fee Simple Titleholder 6dame Ovdner Phone Mumber <br /> Fee Simple Titlehoider Address <br /> J08 t4DDRIESS G CJ Q�1 � 1 LOT# �� <br /> SUBDIbiSIOM PARCE ID# ����� -d���������� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CoNSTR ADD/A � SIGN o o DEMOLISH <br /> B INSTALL B REPAI <br /> PROPOSE�USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSYRUCTIOR7 � BLOCK Q FRAME 0 STEEL Q <br /> DE�CRIPTIOtdOFWORK r'� Q(D'�. �Od t�GV( �pl,e `r C� Q(�Q� <br /> BUI4.�IMG SIXE SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY � W.R.E.C. <br /> ,� <br /> � <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /� /S �� <br /> ,� f <br /> QGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGfdATURE RE ISTERED Y/ IV FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAM C PAMY ( li QG� ��-`� rl~ `P�-' � <br /> SIGMATURE RE ISTERED Y/ M FEE CURRE� Y/N <br /> Address � License# <br /> PLUiVIBER CO PO.tdY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL CO PAMY <br /> 51Gf�ATURE RE ISTERED Y/ N FEE CURRE� Y/M <br /> Address License# <br /> O'�'HER C iMPANY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDEMTIAL 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. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit for s bdivisions/large projects <br /> COAAl1AERCIAL Attach(3)complete sets of Building 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 quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilit(es 8 1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constru tfon. <br /> DirecQions: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over�2500,a Plotice of Commencement is required. (AIC upg des over�7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers , Servlce Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />