Laserfiche WebLink
813-71���020 City of Zep yrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Co tact for Permitting — <br /> Owner's Name � � Owner Phone Number - � <br /> Owner's Address g�p� �� G�. C„ Owner Phone Numbe� � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> � - <br /> Fee Simple Titleholder Address ; <br /> JOB ADDRESS � � ' ^ LOT# � <br /> � <br /> _ SUBDIVI$ION _ _ P CEL ID# - �oZ —D D^ DO <br /> ^ J� (OBTAINED FROAfl PROPERTY TAX NOTICE) - - - - - <br /> WORK PROPOSED NEW CONSTR A D/ALT � � SIGN Q Q DEMOLISH <br /> e INSTALL 8 R PAIR ; <br /> PROPOSED USE Q SFR Q C MM �_� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME 0 STEEL Q <br /> DESCRIPTION OF WORK I � ' � r <br /> I <br /> BUILDING SIZE SQ FOOTAGE ; HEIGHT <br /> QBUILDING $ Y � VALU TION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP ERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALU TION OF MECHANICAL INSTALLATION <br /> � ���OZ <br /> �GAS Q�ROOFING Q S ECIAL I 0 OTHER <br /> FINISHED FLOOR ELEVATIONS F OOD ZONE AREA �YES NO <br /> BUILDER COMPANY ` CCG � D <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPI Y <br /> SIGNATURE REGISTERED 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 COMPI Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPI Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans; 1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal d te. Requi�ed onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pe it for subdivisions/large 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 d te. Requi�ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pe it for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> ""PROPERTY SURVEY required for all NEW nstructio I. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/ upgradesI over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner) ould be sdmeone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING „(Fr.ont of.Application On y) - <br /> Reroofs if shingles Sewers � Service Upgrades AIC enCes(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadway's..needs RO I <br />