Laserfiche WebLink
oi�-iou-uucu c;iry ot Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin O� Ol-,�� <br /> O�nrner's Name � �C C d L d G✓ �j`�P ks� Owner Phone Number /�� �`!�l <br /> Owner's Address .3� �� � ivs� 'Ye o��c Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address - <br /> JOBADDRESS e�e A�`b�`�� ��` � � �o ! � I l.� S`y �a� LOT# � <br /> SUBDIVISION � �'�=�=� N'DL�Q� pARCELID# <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> lN06tK PROPOSED NEW CONS7R ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTIOMI Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF VIIORK 'J Z7(A � G oS G�� a' oS� 'e I�JLI � <br /> BUILDING SIZE C�X�O SQ FOOTAGE ��C� HEIGHT �C ,l <br /> �BUILDING $ 64�- 4� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ / <br /> � � l� <br /> (O Z <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I <br /> C `� <br /> BUILDER " �� � OMPANY � V E � ��Vl�0 � � <br /> SIGNATURE =�-� ,�_�'�.l.J REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPkiNY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER ' COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mfnlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fenoe installed, <br /> Sanitary Facilities 81 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life 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 Pians w/Silt Fence installed, <br /> ' Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "`•PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out applicadon completely. <br /> Owner 8 Contractor sign back of appiication,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone.with notarized letter from awner authorizing same <br /> OVER THE COUNTER PERMITTING -'° (Front;of Applicatiori Only):,°""-` y�r `�� � - '�., ` � ' <br /> Reroofs if shingles Sewers Serv(ce Upgrades�A/C' �Ferices;�(Plot/Survey/Footage) „- ,_ .:;.� .. ,.,,.:� • - • ; <br /> � _ _ . � . ,�ti , .- 4 - ;; , _ . ., � <br /> Driveways-Not over Counterif on public roadvirays..needs ROW� ` :', , . ,.- .-� .� � � ; <br /> , .... , ,. ... _ _ . ,,... -<,.-. �, .._..: .,� ..� , . <br /> .., _ -.. 1..� __ .... _. _..,.....,.,. n_.. <br /> __.. ... ... . . ..... _ .. <br />