Laserfiche WebLink
s�s-zao-aozo City of Zeph�rhills Permit Apptication Fax 813-780-0021 <br /> Bu�iding depa�tment <br /> Qa ecelv � <br /> ts R ed ; �� ��-- �� Phone Contact far PermtttEn �1� ��a� . —��f� <br /> Owner's Name °� �-� � L..�` Owner Phoae Number c�/�� ��.� !„P.��� <br /> Owner's Address 4� � � iV�� L��� �G !'�n� /l Owner Phone Number ��� �E���� <br /> Fee Slmple Titleholder Name ' � Owner Phane Number � � <br /> Fee 8lmple Titleholder Address <br /> JOB ADDRESS ���� /! J� � � /'7 1`L.v' LOT# C� 'I <br /> SUBbIVIS10N �— � PAR�EL ID# /� �� �f �°��� af l_�t'/ � �i <br /> ` (OBTAINED FR4M PROPERTY TA7(NOTICE) <br /> WORK PRC?POSED NEW tQNSTR '. ADDI l.T [� SIGN Q C] DEMOLiSH <br /> e INSTALL REPAIR " <br /> PROP4SED USE Q SFR � CQMNI [� OTHER ' - <br /> TYPE OF CONSTRUCTION , Q BLOCK Q FRAfljIE C� STEEL Q - <br /> DESCRIPTION OF WORK ��Z cS ��`�l1 sl 1��! ,G�G".��j-5��3�V2�5 /��/C►�% �'p a`� �Pji9l+�G�4` �Ey2 ¢/�A ' (✓ <br /> � <br /> BUILDiNG SI2E �_ � SQ FOOTAGE�. HEiGHT �_ <br /> ����«���'' �"' � VALUATI N QF TOTAL CONSTRUGTION - <br /> L— .._..—... <br /> QEI.ECTRICAI � � AMP 5ER CE Q PF2C}GRESS ENERGY Q W.R.E.C. <br /> � � <br /> PCUMBING � � <br /> OMECHANICAI. � � VAl.UAT! N OF MECHANICAI lNSTAL�ATIOiV <br /> �GAS��,�,, ��} Q- ROOFIPiG Q SPE I1A�TY �� OTHEFt <br /> FINISHED FLQOR ELEVATIONS FLO D�ONE AREA QYES NO <br /> BUII.DER OMPAFIY <br /> SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# � —� <br /> ElECTRiC1AN � C�OMPANY <br /> SIGNATURE R ��sreRe� Y J N FEE CURRE� Y/N <br /> Addrss� I License# � � <br /> P�UMBER COMPANY <br /> SIGNATURE � RECa1STERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address I • Lic�nse# �— � <br /> MECHANICA[. COMPANY <br /> SIGNATURE REC,ISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address � Liaense# ���� � <br /> OTNER � y�¢� � CICINIPANY �/��S'"/!'P �G� �" �/� �E'.. <br /> SIGN14TURE /r/Lt.U.prx.2./1:J R GISTERED _ Y/ N _ FEE CURRE� Y/N. <br /> Address '�}'�7�1 �IfBtt� , � RLii/.�5` �.; License# ���1'�J� -� <br /> � <br /> RESIDEN'i7A1: At#ach(2)Ptot�Plans,.{2}sets of:Buitding Plans;{1}set of=Energy Farms;R-Q-W Pemtlt far new constructian, <br /> ,. Minimum;ten.(10).working days after submittal date. .Required onsite,ConstrucHon Plans;Stormwater Plans w/Silt Fence Installed, <br /> Sanftery FaciliUes.&1..dumpster�Sfte Woi1c•Permit for subdiVisionsAarge projects <br /> COMMERCIAL Attach{3}c�mptete sets of Butiilirig Plans plus a E.Ife afety Page;(1}set of Energy Fonns.R-O W Pennit far new canstruction. <br /> Minimum ten(10)working days after submittal date. Ftequired onslte,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facliides&1 dumpstsr.Site Wotk Pamtft for�all new projects.All commercial requlrements must mee!compllance <br /> S1�N PERMlT Attacti{2}sets of Engineer,ed Plans.; � � <br /> ""«"PROPERn SURVEY required for all NEW const�ucGon. <br /> Direc#ion�: ` _ � <br /> Fill out applicatlon completely. <br /> Qwner&Gontr<�ctar slgn back of applicatlon,natatized <br /> tf over 52500,a Notice af Commencernent is requlred: (AIC up rades over 5750Q), - <br /> " Agent(for the contractor�or Power of Attomey(for tF'ie awner)would be someone with notarized letter from owner autharizing same <br /> OVER THE COUNTER PERMi1TiFIG {Fronf af Application Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />