Laserfiche WebLink
e�s-�so-oo�o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date F��ceivad � Phone Contact far Permlttin - <br /> Owner's Fiame II�G, 'yj�I:.1L1...j Owner Phone Number <br /> Owner's Address /�.,f� 0��"� u=! Owner Phone Number �i � <br /> Fee Simple TRieholder Name � � Owner Phone Number �� � <br /> Fee Simple Titleholder Address <br /> JQB ADDRESS ��j�� LOT# �� <br /> SUBDIVISION � �'It-f+�v/l`� tl f�i� PARCE�tD# <br /> {08TAINED FROM PROPERiY TAX NOTtCE) <br /> WORK PROPOSED NEW CQNSTR ADDtALS � StGri! C} C] DEMOt,lSN <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q 5FR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIdN [� BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WBRK i`��°- � Q�1- `5 �" r` � '"�' , <br /> BUfLQlNG SlZE �— � SQ FOOTAGE�� FiE1GHT C�� <br /> QBUILDING � ���� ' VA�UATEOttii OF TOTAI CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING ($-� �� <br /> �� � `�,� <br /> QMECHANIGAL $ VALUATIQN OF MECHANICAL INSTALLATION <br /> QGAS � FtOOFING Q SPECIALTY � OTHER <br /> !FINISHED FLOOR ELEVATIONS �� FI.OQD ZONE AREA QYES NO <br /> BUILDER COMP/WY <br /> SIGNATURE REGI8TERED Y/ N FEE CURREt+ Y/N <br /> Address License# i � <br /> ,ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address � Ur.anse# � � <br /> PLUMBER � � CQ(►APANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address -i,icense# � `..—� - <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Atldress �.tcanse# � �� <br /> OTHER ��. COMPANY ��J�� �d'���a <br /> SIGNATIIRE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address f � /,�� � �1,�6,,� `�1�"��`_G'G ,�'.`.�" �fcense# ��`t�� � <br /> RESiDENTIAI: Attach(2)PlotPlans;.(2)sets.of Building Plans;(1)set of Energy�Fortns;R-O-W Permit for new construotion, <br /> Minlmum,ten(1.0),working days after.subriitttal date. Required onsite,ConstrucUon Plans;S#ormwater Ptans w/Silt Fence installed, <br /> Sanitary Facff3�es.&1�ciumpster,Site Work-Ferm3t for subdFvisianstiarge pro�eats <br /> COMMERCIAI. Attach(3)complete sets of Builtling�Plans plus a"Life Safety Page;(1)set of Energy Forms,R-O-W Petmit far new constructlon. <br /> Minimum ten(10}wortcing days'after submttta�date. Requlred onsite,Canstruc8an Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facliities&1 dumpster.Site Waric Permit far a11 ner+v proJects.Atl commercist requlrements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plens.., - <br /> ""PROPERTY SURVEY required for ali NEW construcUan. <br /> Directions: . � � <br /> Flll out appilcadon completely. ', ,; ! . • ���, <br /> Ownet&Cantractor slgn back of appiication,noterized� `<< -' ' . -�`� <br /> ff over�25QQ,a Nottce of Commencement is regulred.` (AIC-up�r�ad,`e�s riyer�T50Q) � � � � • " <br /> " Agent(for ttie contractar)or Power of Attomey,{frar the owner),wou�d be sameane wi#h natarized letter from owner authorizing same -.._ ..- � <br /> i!V€R 7HE COUNTER PERMITTING'V, {Front of Appl3ration Qnly) ' , " , " � ° � _ ', � • <br /> Reroofs if shingles Sewers `}Service'Upgrades-A/C Fences(PIoUSurvey/Footage) � � ' � <br /> t , . � . <br /> Driveways-Not aver Counter tf on pabifc.raaduvays..�eetlsrROW�,. '„__,,._,_ ,_. :- . � .. -, <br /> ,� .. . - <br />