Laserfiche WebLink
s�s-�eo-oo2o City of ZephyrhillM Permit Application Fax-813-780-0021 <br /> Build(ng epartment <br /> Date FTeceived ;� � �� Phone Contact for ermittin CJI� �lJ:� — q�� <br /> Ouvner's Name ��QS �� �� C+�— �'��� t Owner Phone Number <br /> Ovuner's Address �'yS� ��h � Z"h���S��'�-�u a Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS �'"��� ���h �Jti� �2.- `1� Y y 1�` S, �L 335U a LOT# �� <br /> SUBDIVISION PARCEL I # <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORIC PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �'��TCL�� ��VJ 5�,��( �l�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION O TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ��,�.1'�r� ��� <br /> �{V lJ � 1� <br /> OMECHANICAL $ VALUATION 0 MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> BUILDER COM ANY <br /> SIGfdATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAP! COM ANY <br /> SIGNATURE REGI RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER ���,,�,c_.Q� ��ti� COM AfVV � �Xl'(�IS �l�`lQ�.i�(�S < <(�C� <br /> SIGNATURE REGI ERED N FEE CURRE� N <br /> Address —�I��J 11��'GJ 1• Z�1�`S►��-- ����-` License# �����'1��LQ�t <br /> MECHANICAL COM ANY <br /> SIGfdATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER ' CO PANY <br /> SIGMATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set o Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllit(es 81 dumpster;Site Work Permit for su divisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Sa ty Page;(1)set of Energy Forms.,R-O-W Permit for new construcNon. <br /> Minfmum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance <br /> SIGN PERIMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construct on. - <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 32500,a Notice of Commencement is required. (A/C upgra es over�7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING =� -�(Front of Application Only) .. � � "°"'- � -•• �- -� -. _ <br /> Reroofs if shingles Sewers �Service Upgrades A/C �� Fences( lot/Survey/Footage) � • ` - ' - - • - • <br /> , ., . ,' � -• . :. � , . �" - _ „ -. . <br /> Driveways-Not over.`•Counter if on public�roadways::needs:ROW � �. , '- " ' � _ ' <br /> �.<h . ..�..�. �_�. ,,w,.�: :_ :.. ._.,_,: .,... .. .,.., -- •�.. _,., r.. ._ . _. .. . . '_., - <br />