Laserfiche WebLink
s��-�so-oozo City of Zephyr ilis Permit Application Fax-813-780-0021 <br /> Build ng Department <br /> IDate Receieed <br /> - Phone Contact or Permitting -- � <br /> Owner's fdame � � W U� � �5 a'�5 e� O►bner�'hone Idumber � 1 S" �v � 3°� � ?$ <br /> �nrner's 9►ddress - � I � � � 1 '�` � �� Ovaner Phone idumber � �� 7!-�S�L c� <br /> Fee Si�nple Titleholder Rlame Owner Phone Iduonber <br /> Fee Simple Titleholder Address <br /> JO�ADDRESS c'7 t �7 �t� � e -� � LOF# � <br /> SUBDIdISIOfd � PARC L ED# <br /> V ` � ` (OBTAIMED FROM PROPERTY TAX NOTICE) <br /> WOR�(6'ROPOSED B NEW CoNSTR B ADD/A T' [� SIGN . Q 0 DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED U�E Q SFR � � COMM 0 OTHER - <br /> TVPE OF CONSTRUCTIOM Q BLOCK Q FRAM Q STEEL V' a��-`t' <br /> D�scRi�Tio�o�wor��c �N S TA L L. C�Fl�C�'r (� X Z 6 <br /> IeU1LDIfdG SIZE � � �7 SQ FOOTAGE v� HEIGHT �v � � 7 � <br /> �BUILDING �r��/w $ VALUATIO OF TOTAL COMSTRUCTIORI <br /> � 6�D� <br /> QELECTRICAL $ AMP SERV CE Q PROGRESS ENERGY Q W.R.E.C. . <br /> OPLUMBING , $ ,� <br /> �` `,���� 7 <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> QGAS ROOFIMG Q SPECI TY ��� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZOfVE AREA �YES NO <br /> �_ I-- .�--.._, ___ _ <br /> ` OM�t����,�, � _ . ��., <br /> �aui�.���r � US� � c ��Ar�x -+�. - ' <br /> SBGidATURE � RE ISTERED Y/ IV FEE CU �, T !IV ~� <br /> e4ddress License# <br /> IELECTRICIAld C iNPA1dV <br /> SIG(de4TURE RE �STERED Y/ IV FEE CURRE� Y/N <br /> Address License# <br /> PLUIMBER C MIPAMX - <br /> SIGIdA1TURE RE ISTERED Y/ N FEE CURRE� Y/M <br /> e4ddress License# <br /> MIECFIANICAL C �P�� <br /> SIGRIATURE RE ISTERED Y/ fV FEE CURRE� Y/N <br /> Address License# <br /> OTFlER C 61APAMY <br /> SIGfdA'�URE R ISTERED Y/ N FEE CURREn Y/N <br /> 94ddress License# <br /> RESIDEINTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)se 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/Silt Fence installed, <br /> Sanitary FaciUties&1 dumpster;Site Work Permit for ubdivisions/large projects <br /> CORHRHEEtCIAL 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/Silt Fence i�stalled, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGtd PERIlAIT Attach(2)sets of Engineered Plans. <br /> "`"PROPERTY SURVEY required for all NEW constrt�ction., <br /> Directions: <br /> Fill out application completely. <br /> Ovme�&Contractor sign back of application,nota�ized , __ <br /> If over 52500,a fdotice of Commencement is required. (AIC up rades over�7500) , � , � <br /> •" Agent(for the contractor)or Power of Attomey(for the owmer)would e someone with notarized letter from owner authorizing same ' <br /> ,.,,';. '� <br /> ONER THE COUMTER PERAAITiIIdG (Front of Application Only) � ''"'`� ' ; '"'�`°"�°�-,�- °-- �� �- :- � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fence (Plot/Survey/Footage) � _ �. -=- • ;, i'} <br /> - �( .�'3r'r�� �I� . ( <br /> -� ..1 -' . <br /> Driveenrays-Not over Counter if on public roadways..needs ROW , _. , . _ ;",_ � � _ � <br /> .,.:n. . _. ._.�. ,,.Y.,.,..�.,. �-,,.�-.,..:,,�«-�Y-<o`t <br />