Laserfiche WebLink
813-780-0020 City of Zephyriiills Permit Application Fax-813-780-0021 <br /> 6uilding DeCarlment <br /> Date Recaived � g 13�J g _ g o � 2 <br /> Phonc Contact ior PermiHing <br /> � i � eoc � t � � � + ti � ie <br /> ,1�_ � <br /> Ov+ners tJame ��(�A �'psP1�A� ?�\ i��3 O�rner Plione Numhcr �' �l <br /> Owwner's Address 7V� �� ��v� Owner Phone Number <br /> Fee Slmple Titleholdcr Name � Owner Phone Number � <br /> Fee Simple Ttt(ehotder Address §v °� <br /> JOBADDRESS '7as� G4tt ���I� LOTi� � <br /> SUBDNISION � PARCEL ID(# <br /> (ODTP.!l:ED FROM PROPER"fY TAX NOTFC� <br /> WORK PROPOSEO e tdE4V CONSTR B AODlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMl�I � OTHER <br /> 7YPE OF CONS7RUC?ION Q BLOCK Q FRAME � STEEL Q <br /> OESCRiPTiONOF4YORK � "Pi IQ <br /> BUILDING SIZE �� SQ FOOTAGE � I /� HE(GHT <br /> �BUILDING 5 1/_q C'�Mv VAIUATIOH OF TOTAL CONSTRUC7t0�� <br /> �irr i, a�- <br /> OELECTRICAL S A6iP SERVICE � PROGRESS chERGY Q W.R.E.C. <br /> QPLU6761NG $ �_r <br /> � `�� S <br /> QMECHANICAL S VAlUAT10N OF MECHANiCAL INSTALLATIaN l,�� ,J� <br /> ��� � <br /> �GAS Q ROOFING Q SPECIAL7Y � OTHcR 3 ES � ,�� <br /> v���`'� ,���rJ <br /> FIUISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO i�� <br /> � <br /> �r�) 2.��' �,,�'f!t,!G�'�t'�� lY'� <br /> BUILOER .` ���� I CCSMPANY � <br /> SIGNATURE J REGISTERED Y! N FEECURREh Y/N <br /> Address �426J �i .�iS \1(, �rYl�. (•_. 1 Lf ,;�e„So�. GC L J3�f i 37 <br /> ELEC7R(CIAN �� y►��y' il�` `� PANY __] <br /> �(� SIGNATURE �l� � REGISTEREO Y 1 �4 FEE CtNtREn Y/N <br /> S ( �, Address �CQI1S9 r'�. <br /> � f 2 !� PLUMBER ��� ' � C Y <br /> ( � SIGNATURE REGISTERED Y/ N �E Ctnutec+ Y/N <br /> �� - ._ - - - ---._. . _. <br /> Address � License i' <br /> !��ZS+,;,,[��( SGNATURE e` n� �Gisre o Y! N FEECURRE� Y!N <br /> ���Z` A�idress License# <br /> g 1 ��S SIGUATURE R O�P�D Y/ N FcE CURRFl. Y!N <br /> � <br /> Address U��e� <br /> ! { 11111111111111111l11111161111I1111111l41l1114 ! ! lliflilltlltlltlll <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Buflding P(t3ns;_(1),et of Energy Fortns;R-O-W Permit(or nev�consWetion, <br /> Minimum ten(10)working days after submittai date. Required onsite,ConsWct;on Plans,Stnrtnvrater P(ans�v!Sflt Fenee irs^,tafletl, <br /> Sanitary Faa'lities S 1 dumpster,Site Work Pertnit(or subdivisionsllargo pro�acts <br /> COMMERCIAL Attach(2)camp!ete sets.oi Buitding Plans plus o Li(e Safety Pac�e;(1)set of Energy Forms.R-0 VJ Pertnil for new consWction. <br /> Minimum ten(10)wodcing days after submittal dato. Required onsite,Constnection Plarss,Stormwater Plans wl Silt Fenece instnlied, <br /> Senitary FaC7ilie5 6 1 dumps[er,Sile Work Permit for nll new pmjecC,.Atl commercEat requirements must meet compiianco <br /> SIGN PERh91T Altach(2)sets ot Enginepred Plans. <br /> ""PROPERTY SURVEY required for ati NEW construction. <br /> � 9 � - -�-s-Q-� �-1-- <br /> Oirecti8n�: <br /> FII out appliplion complatety_ <br /> Qvmcr 8,Cont2ctor sign back of apptication,notarized <br /> [f over$2500,a Notice oi Commancoment is requlred. (AIC upprades aver 575U0) <br /> " Agent(for the contractor)or Pourer of Ariomey(tor the rnmer)would be someona with noterized latler from wmer authorizing sama <br /> OVER THE COUNTER PERMIi'fihlG (copy of contraCt required) , <br /> Reroofs(f shingSes Se�xers Service Upgrades A/C Fences(PIoUSurvey/Faotage) <br /> .,�.�.._._.�.,....u.r,.....�...:�.......,us,...,.,a,...,,m ..m.��anw <br />