Laserfiche WebLink
813-780-0020 City of Zephyrhi'Is Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> IDate Receieed Phone Gontact f r Permitting -- <br /> Owrner's Maone �� /C��L. �,��Y�,S �.L Ouvner�'hone Idumber 7j"���'� ��� <br /> Owner's�lddress P0;7��(p " �n l 3� �J O�nrner Phone idumber <br /> Eee Sicnple Titl�holder Mame O�nrner Phone Mumber <br /> Fee Simple Titleholder elddress <br /> JOB�1DDRESS Pj�y� I� � LOY# <br /> �� <br /> SUBDIbISIOM PARCEL 9D� <br /> — -- - , - — - �- — — - - (OBTAINED FROAA PROPERTY TNC NOTICE) — -- - � <br /> HNOEt6(F'ROPOSED � NEW CoNSTR e ADD/ALI � SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> P�tOPOSED USE r Q SFR Q COMM � OTHER <br /> 7YPE OF CONSTRUCTIOfd Q BLOCK Q FRAME 0 STEEL 0 <br /> DIESCRLP�IOM OF WORK � � <br /> BUILDING 51ZE S(A FOOTAGE HEIGHT <br /> OBUILDING $ � �� VALUATIOfV OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVI E � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER C AAPANY <br /> SIGIdATEJRE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTFtICIAN C MPAMY <br /> SIGMATURE RE ISTERED Y/ IV FEE CURRE� Y/1� <br /> aldldress License# <br /> PLUM�ER C MPA�lY <br /> SIGIdATURE RE ISTERED Y/ IV FEE CURRE� Y/I� <br /> e4ddress License# <br /> MIECHAIdICAL C IkAPAPdY <br /> SIGRIATURE RE ISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTFlEPZ C MPAMV <br /> SIGfdATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDE{NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se of Energy Forms;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for ubdivisions/large projects <br /> COMAAERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.Ail commercial requirements must meet compliance <br /> SIGfd PERIlAIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW cons ction. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> �. If ov�r$2500,a INotice of Commencement is required. (4UC up rades over y7500) ,,.-,w...,..:..�-,-,. _-,,-~�` ;: <br /> ,.,..,,F,.�:,.,.>:-4=. -_. <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarize�letter from ovimer•authorizing,same�,••; � <br /> a :;`,,.,c :: f::,.c' �•.:':'+ � ` a <br /> ONER YHE COUNTER PERINI7"PING (Front of Appl(cation Only) :,; . , . _... � ..- - <br /> Reroofsifshingles Sewers Serv(ceUpgrades A/C Fenc s(Plot/Survey/Footage) D y:•:;-�.- °, , ,• '' , ;y v„ ,r �..r.�° <br /> �Lx.uc�,w,�:... *c . . �.�, . <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />