Laserfiche WebLink
s�saso-oa2o City of Zephyrhills Permit AppGcation Fax$13•780-002� <br /> � �' Building Department <br /> Date Received Phone Conlac!for Parmltting 0�� �oS – �l✓�� <br /> Owner's Name L, 1 f�17�'Tlfsl�jA'�/�� Owner Phone Numbsr bf������R���� <br /> Owner's Address �-/.3� ��}'f l� Ll1Q Owner Phoae Numbet � � <br /> Fee Simple Titleholder Name �_ � Owner Phone Number �� � <br /> Fee Simpla Titlehalder Address <br /> �os auaR�ss °��C� �311/v/� ���1`�5 ��., 5��- LOT# �_,� <br /> sue�ivis�or� �R�r-�1���onrt —�°'�' Par:c���o# D,� �(e+ �1 Dl.3l� �D8'Q� DDSC3 <br /> (OBTAINED FRQM PROPERTY TAX NOTICE) <br /> WORK PROPOSEQ � e NEW CON5TR[� ADDlALT � SIGN Q Q DEMOLI$H <br /> INSTALL Q REPAIR <br /> PRQPdSED USE [� SFR Q CQMM' � OTHER <br /> TYPE OF CONSTRUC'fION C] BLOCK Q FRAME � STEEL Q <br /> DE3CRIP'fiBN OF WORK �� � �.. � �� � ��� �� �N�� °� G'�� � � <br /> BUILDING StZE ��� SQ FOOTAGE C� HEIGHT ���� <br /> QBUILDING $ � VAt,liAT10N OF TOTAL CONSTRUCi'tON <br /> [�ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ � —� � <br /> QMECNAN�CAL $� ��`� VALUATION OF MECHANICAL INSTALLATION . �O <br /> QGAS Q ROOPING Q SPECIALTY [� OTHER �, "( <br /> FINISHED FLQOR ELEVATIONS � � FLOOD ZQNE AREA QYES NO <br /> BUILDER COMPANY <br /> SiGNATURE REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> ELECTRIGIAN COMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> .. ,,._.._.._,. ._.. <br /> Address l.icense# � i � <br /> PLUMBER COMPANY <br /> StGNATURE REGISTERED Y J N FEE CURREA Y/N <br /> Address 1.3cense# � � <br /> MECHANIGAl, �� 3� � COMPANY � !'O P_ S't %�- �G�i <br /> S[GHATURE G�n�- �`�-°'�'� REGISTERED Y! N �E cu�itEn Y/N <br /> `� ,�ry //},�J� --p-- <br /> � „,_,_,�. <br /> Address Z `�� �`7'"1�'�='/1� �f�/l6� Ucense# ��� ����O <br /> OTHER COMpANY <br /> StGNATURE REGISTERED Y J N FEE CURREh Y/N <br /> Address Llcense# � � <br /> RESiDENTiAI. A##ach(2)Piot Ptans;(2}sets of Building Plans;(1j set of Energy Forms;R-Q-W Permlt for new construcUon, - - <br /> Mlnfmum ten(90}worklog days after submitta!date. Requtred onsite,Construc6on P1ans,8tonnwater Pla�s wt Stlt Fence Mstalled, <br /> Sanitary FacillUes&1 dumpster,51te Wor1c Permit for subdivislons!large proaeats <br /> COMMERCIAL Attach(3)complate sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Minimum ten{1 d)warlcing days after submlttai date. Required onsite,Constructlon Plans,Stormwa#er Ptans w/Siit Fence instailed, <br /> Sanikary FaciliNes&1 dumpster.Slte Work Permlt for all new proJeets.R!I commeretal requlrements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*PROP�RTY SURVEY required for alt NEW construc�ttan. <br /> Directlons: <br /> Fiit out applicatlon campletely. <br /> Owasr&Contractor sign back of appi(caUon,natarizati <br /> If over 52500,a Notice af Cammencement i�requlred. (A!C upgrades over�T500) <br /> " Agent(for the contraotor)or Power of Attomey(for the owner)woutd be someone with notarized letter from owner authorizing same � ` � ` <br /> �VER THE COUNTER PERMIT7ING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..oeeds ROW -• - - � � <br />