Laserfiche WebLink
813-780-Op20 City of Zephyrhills P�rmit Application Fax-813aso-ao2� <br /> r Bullding Departrnent <br /> Date Received �, Z� r� � Phone-Contact for Pernnittin `/�I �J � r 'C - � � �� <br /> Owner's Narne -�:3G�IiL'l.. ��C Owner Phona Number ___ <br /> Owner's Address �• � � � ~ Owner Phone Number C - � <br /> Fee Simple 7ltleholder Name � �� Owne�Phone Number � <br /> Fee Simple Titleholder Address � <br /> J08 ADDRESS 2- � I.OT# �� <br /> sugowis�aN �� � - � P,aac��ia# �3-��O`a1 '-�Qo�- ropS"�o � 9�3ltO <br /> _ {08TAINED FROM PROPER7Y 7AX NOTICE} <br /> WORK PROPOS�D New carisrR ADD/A�T � SIGN [� � DEMOLISH <br /> ST <br /> � e IN3TALL REPAIF2 <br /> PROROSED USE Q SFFt Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION� Q. BLOCK C] FRAME - � STEEL Q <br /> DESCRIPT{t}N C►F WORK V ~ <br /> BUI�DlNG SIZE �` � SQ FOOTAGE t � HEIGNT �_� <br /> QBUILDING $ � '—� VAIUA'fiON flF TOTA�C�NSTRUCTION �`r"�_,,,�-'.--- <br /> J(JE,l� <br /> QELECTRICAL ($ —�� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �` <br /> QPLUMBING ($!� <br /> L <br /> OMECHANICAL. �� VALUATION OF MECHANICAL INS7ALLATION <br /> QGAS C] ROOFING [� SPECIALTY �,� OTHER <br /> F1IVISHED FLOOR ELEVATIONS ��--� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATUR6 REGISTERED Y/ N FEE CURREl� Y/N <br /> A���$� License# �� � � <br /> ELECTRICIAN COMPAldY <br /> SIGNATURE RECaISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �^ �� <br /> PLUMBER �� GdMPAMY <br /> SIGNATURE REGISTERED Y/ IV FEE CURRE� Y/N <br /> Address license# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE - REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � ��1 <br /> OTHER __ �- ��_i�-�' COMPANY r (f'"U <br /> SiGNATURE � REGISTERED Y/ N. FEE CURRE� Y/N <br /> Addres� �( '��'. ...�.. � �.�.3 �� �icense# r�'CC-f�,S�77��� <br /> RESIDENTIAL Attach(2)Flot Plans;(2)sets of Building Plans;,(1)set af Energy°Fortns;R-O-W Perinit for new construction, <br /> Minimum,tem(10}woricingiiays after submittal date. Requlred qns(te;Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> 3anftary Eacl{i8es;8�1 dumpster,.Site Wark:Rermit for subdlvisionsilarge pro)ects <br /> COMMEMtCIAL Attach(3)complete sets af Buiicling Plaris plus a Ufe Safety Page;(1�set of Energy Forms.R O-W Pecmtt tor new construcUon. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construckion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpsiec.Slte Wartc Permit fot a0 new projects.Ail aammercia#requirements must mee#comptiance <br /> SIGN PERMIT Attach(2)sets of Erigineered Pla�s.,, � - <br /> *"""PROPER'1'Y SURVEY required far all NEW construction. <br /> Directions: <br /> Filt out application completely. <br /> Qwner&Conhacto�sign back of appltcatlon,natarized <br /> If over�2500,a Notice of Cammencement 1s requfred. {A(C upgrades over S7500j <br /> '" Agent(for S!'re contraetor}or Power of Attamey(for the owner)rwaeid be.someone wi#h nota�ized letter from owner autho�izing same <br /> DYER TNE COUNTER PERMI'FTING; � (Front of Appifcat3ori Oniy) <br /> Reroofs if shtngles Sewers �Service Upgrades.A/C'� ` Fences(PlodSurvey/Footage) <br /> Rrlveways-Not aver Counter ff ori publla roadways::�eeds R4W , � . <br />