Laserfiche WebLink
s�saeo-oo2o City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> Buildin Department <br /> Date Received �_.� `J�f <br /> Phone Contact fo Permitting �� �`,� -- ��� <br /> Owner's Name �'�� � Pt< c- � �r��G Owner Phone Number <br /> Owner's Address d'd� f �"1r��j„'��t /1/J Owner Phone Number <br /> Fee 5imp{e Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 7 P t� O!�I f�l�C,' LOT# �� <br /> SUBDIVISION ��q K� l�a�,-2 e n � PARCEL D# �/^� �- 07/ - p 0 90 - ��D 0 0 �' O G Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CoNSTR e ADD/ALT � SIGN � 0 DENIOLISH <br /> ,_, INSTALL REPAIR <br /> PROPOSED L!SE SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION ��'] BLOCK Q FRAME � STEEL 0 " <br /> - --- - _--- - ---- <br />, --- -- —- - -- <br /> - - - --- ---- ---------- - <br /> I DESCRIPTION OF WORK I ('w1 0�< d- t� ,n a,o.+ ,/'i�Z a fG/ J�ic <br /> BUIL�7ING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ C/ VALUATION O TOTAL CONSTRUCTION <br /> l �D <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION O MECHANICAL INSTALLATION �lj f <br /> � �� <br /> �t <br /> �GAS [� ROOFING Q SPECIAL Y � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA DYES NO <br /> BUILDER k , '�COM ANY `���►ddt�/ �ui J o� � iJ /� <br /> SIGNATURE � V� REGIS ERED Y N FEE CURRE� /N <br /> Address 0 ��`.�('nr�;/ � - � License# ��G �,�/�y9 <br /> ELECTRICIAN COM ANY <br /> SIGNATURE ' ' Re�ls eReo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER ' COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER • COM ANY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requ red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for sub ivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction. I <br /> Minimum te�(10)working days after submittal date. Requ red onsite,Construction Plans,Stormwater Plans w%SiIF Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all n w projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""'"PROPERTY SURVEY required for all NEW constructio . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrad s over$7500) <br /> ** Agent(for the contractor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner auihorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) . , - � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI USurvey/Footage) . <br /> Driveways-Not over Counter if en public roadways..needs ROW • > " ' , , <br /> I <br />