Laserfiche WebLink
813-780-0020 City of Zephyr ills Permit Application Fax-813-780-0021 <br /> Build ng Department <br /> Date Receivec9 �p��U�/� phone ContacQ or Permittin -- <br /> Ouvner's R1ame � ('7�1� (`P� �� l �� Owner Phone R9umber �I � 70 " f D �� <br /> Oevner's a�ddress ss 2� ��(1 �Y��� Ovaeier Phone Mumber �/ I / � �� 2�� <br /> Fee Simple Titieholder ldame Ourner Phone Mumber <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS a/�L� • ` f LOT# � <br /> SUBDINISIOfd �V� PARC L ID# <br />- (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORF(PROPOSED e NEW CONSTR 8 ADD/A T 0 SIGIV Q C] DEMOLISH <br /> INSTALL REPAI <br /> �ROPOSEIDUSE Q SFR � COM 0 OTHER <br /> TYPE OF COIdSTRUCTIOfd Q BLOCK Q FRAM � STEEL � <br /> DESCRIPTIO(d OF WORK �l'► (� �l�l�`� C h�� !�'Pj�C U <br /> BdDI�.D��G 51ZE SQ FOO�'i4GE �9EIGHT <br /> OBUILDING $�`��J �J� VALUATIO OF TOTAL CONSTRUCTION <br /> r <br /> QELECTRICAL $ AMP SER ICE � PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION �` S �J � <br /> OGAS Q ROOFING Q SPEC ALTY � OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOO ZOfVE AREA �YES NO � '�� <br /> BUILD�R ' C RAPAldY <br /> SIGfdATQJRE R GISTERED Y/ f� FEE CURRE� Y/N <br /> a4ddress License# <br /> �ILECTRICIAM ORflPAfdV <br /> SlGtde4TURE R GISTERED Y/ IV FEE CURREA Y/N <br /> Address License# <br /> PLURA��R OINPAMV <br /> SIGMATU6ZE R GISTERED Y/ �V FEE CURRE� Y/N <br /> �lddress License# <br /> MECHAMICAL Of�IPARlY <br /> SIGRIQ►TIDRE GISTERED Y/ N FEE CURRE� Y/IV <br /> Address License# <br /> OT@�IE�i ONIPARIY <br /> SIGIdATURE EGISTERED Y/ N FEE CURRE� Y/R� <br /> �4ddress License# <br /> RESID�WTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite, Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit fo subdivisions/large projects <br /> CORfi�fIERCIAL Attach(3)complete sets of Building Plans plus a Lif Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compliance <br /> SIGM PEl21lAIT Attach(2)sets of Engineered Plans. <br /> ""•PROPERTY SURVEY required for all NEW cons ruction. <br /> Directions: <br /> Fill out applicatfon completety. <br /> Owner&Contractor sign back of application,notarized <br /> Bf over Ea�00,a fdotice of Commencement(s required. (A/C u grades over�7300) <br /> °° Agent(for the contractor)or Power of Attomey(for the owner)wou d be someone with notarized letter from owner authorizing same <br /> ONER THE COd1tdYER PERMiITTIfdG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen es(PIot/Suroey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />