Laserfiche WebLink
813-780-0020 City af Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received ''z--,S C�- phtine Gontact far Permltting �� �� - 3� <br /> (?wner's Name If C.s� Owner Phone Mumber a/.3��l6 ' ✓`��3� <br /> Owner's Address �y �/? �1��% Owner Phone Number �— � <br /> Fee Simple Titleholder Name �� � Owner Phane Number �� � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ��e LOT# � <br /> unr� 26.2l' �•2tS0-e�DldG7-� e9c�/O <br /> SUBDiVISiON C'�l�iy�� P/�•f' PARCEL ID# f�- <br /> (OBTAINED FR4M PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADDlAL.T � S1GN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTNEF2 <br /> '1'YPE QF CONSTRUCTION Q BI,OCK [,� FRAME � STEE� Q <br /> DESCRIPTION OF WORK � � �� �/ �� �/"� � r ! G""f� �35�' • <br /> BUILDING StZE �� � SQ FOOTAGEC� HEIGHT �_ � <br /> 0����'�i�� $ �j� � VALUATION OF TOTAL CONSTRUCTION � <br /> QELEC'fRtCAl. �— � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ,...., � ,�(`�{��� <br /> � � � �._.a„ ,'� <br /> ����� �� <br /> �MECHANICA� $ VALUAT[ON Q�MECHANtCA�tNSTA�LAT1aN j� <br /> OGAS Q ROOFINC Q SPEC1Al.TY �] OTHEFt <br /> FINISNED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> Bt11LDER • ... � �! COlVIPANY ?%L�/L�Ci .V d/"' SC'.t7ii�G <br /> SIGPIATURE REGISTERED �/ N FEE CURRE� Y/N <br /> Address / $ l�ri,r�p�i� vd � �3� License# .e���,(��a,.'�1/� <br /> ELECTRIClAN � COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- � I <br /> PLUMBER � COMPANY <br /> 91GNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� T � <br /> MECHANICAC � COMPAt+1Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# �— � <br /> t3TNEt2 COMPAN7 <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> RESIDENTIAC� Attach(2}Plot Plans;{2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permi#for new canstruction, <br /> --- N�i�im�m ten(10j vvorking days aitEr submittal dake. Requirad onsite,-Construction Plans,StormwatEr Plans whSilt Fer�ce installed, - ------- <br /> Sanitary Facilit(es&1 dumpster;Site Wark Permlt for subdivtslonsAarge pro}ects <br /> C4MMERCtAL Attach{3}comple#e sets af Buitding Plans ptus a l.ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days atter submittal date. Required onsite,Canstructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.S(te 1Nark Permik for a!I new projects.Alt comme�c'sal�Pequirements must"meet compliance <br /> StGN PERMIT Attach{2}sets-of Engineered Plans. " , <br /> ""'PROPERTY Sl1RVEY required for all NEW construc#ion. - ' ' <br /> Directions: <br /> Fill out applicaGon completely. <br /> Owner&Contractar sign back of apptication,natarSzed <br /> if aver�2500,a Notice of Commencement is�required. {A/C upgrades over$7500) <br /> "" Agent{for the contiactor)or=Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> � 4VER THE CQUNTERAERMiTTiNG` .;,,,(Front of Application Onty) ,' . - <br /> Reroofs if shingles Sewers ; 1 �'Service Upgrades A/C Fences(PIoUSurvey/Footage) , � + ,, � <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW ' � , �, <br />