Laserfiche WebLink
c T <br /> 813-780-0020 City of ZephyrhiNs Permit Appiication Fax 813-780-0021 <br /> Building Department <br /> Date.,�eceived Phone Cos�tact far Permittin t�+3 ��� — c� <br /> Owner's Name CJ1 t1�� �•�� � Clwner Phone Number �g� ���� <br /> Owner's Address I�- c.) < Owner Phone Number <br /> Fee Simple Tltleholder Name � � Owner Phone Number „__ <br /> Fee Simpla Tttlehalder Address <br /> JOB ADDRESS 0 • ��Tr� "S LOY# C_.� <br /> SUBDiVtSION � � PAf2CEL ID# <br /> (OB7AINED FROM PROPERTY TAX NOTICE) <br /> WORK Pt20POSED � NEW CONSTR 8 ADDtA�T � SIGN Q Q DEMOL1SFi <br /> INSTALL REPAIR <br /> FROPOSED USE Q SFR Q GQMM � OTHER <br /> TYPE OF GONSTRUCTIQN Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK � � D�.-� <br /> BUILdING SIZE �— � SQ FOOTAGE�� HEIGHT C�,�� <br /> Q BU1[.DING �6� �tALUATIQN OF TOTAL CONSTRUCTiQN <br /> QELEGTFtICA� $ � AMP SERVtCE Q PROGFtESS ENERGY Q Vtt.E2.E.C. <br /> QP�UMBING $ � ,j l, ���j ,,,,�i <br /> � ���•��� <br /> L <br /> ��MEGHANICAt $ -�c.( VA�tJATION OF MECHANICAL INSTALlATION <br /> �_��`i= <br /> QGAS Q RflOFiNG Q SPECIALTY 0 OTHER (' �j �j� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO `�� v <br /> BllILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> Et�ECTRiC1AN � � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE�" Y/N <br /> Address License# �� � <br /> PI.UMBER � � COtVlPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> �EC�ar��c,a� � COMPAIVY � `�CC 5�..�tItC�S � �tlS� <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� ���C ���c U Z�����., �• License# ����- t�(��,�q � <br /> QTHEi2 COMPANY <br /> 51GNATURE ,,. � REGISTERED Y/ N FEE CURRE� Y/N <br /> .....,_._„ <br /> Address License# �� � � <br /> RESIQEN'T{Al Aftaoh{2)Plot Plans;{2}sets of Buitding Ptans;{'1}set of Energy Forms;R-Q-W Perrr�iY for new construc6on, <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons#ruction I'lans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COM�4JIEF2�IAL Attach{3}comptete sets o#Building Plans ptus a Eife Safety Page;(1}seY of Energy Forms.R=0-W Perm'st for new constnaction. <br /> Minimum ten(10)working days'after submittal date. Ftequired onsite,Constnaction Plans,S#ormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far aU new projects.All commerciai requtrements must meet compliance <br /> 51GN PERMIT Attach{2)sets ot Engineered Ptans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �irQCtions; <br /> Fill out application completely. <br /> Owner&Contraotor sign back of applicafion,notarized <br /> if over 52500,a Notiae af Cammancement is required. (A/C upgrades aver b7500} <br /> " Agent(for the contractor)o�Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> �VER THE COUNTER PERMt'i"i'IFiG ;.._{Front'of Apptication Onty}� � -. '.��., '., <br /> 2eroofs if shingles 5ewers Senrice Upgrades,,NC ,Fences(PIoUSunrey/Footage) <br /> � ` -' - t� <br /> Driveways-Not over Counter if on pubiiaroadways..needs.RfJW ' ' <br />