Laserfiche WebLink
— o„-,QU-�„�� Gity of Zephyrhills Permi#ApplicaEion Fax-813-78Q-0021 . <br /> Building department <br /> : <br /> Date Recefved ��,Z ,f Phone Contact for Permittin ��� O.� / '�"� <br />' Owner's Name t�'j'' /1 L� C..- f?�'Ze�.S Owne�Phone Number Q f�'"'�`� 1 ��3f <br /> � y. <br /> Owner's Address . L7L.l.��/l.� ���� � �/ �►ner Phane Number .� <br /> 33S ,� <br /> Fee Sfmple Tltiehalder Name � � Owner Phone Number _„_,,__,,,,` <br /> Pee Slmpfe Titiehaider Address <br /> �� JOB ADDRESS �S 7 �� l�� '`��' L07# ��� <br /> SUBDIVISION <br /> r� � ��cE�.�n# 11-a�-�l uc�,�r�' t�3�ac� —���� <br /> (OBTAINED FROM PROPERTY TAX NOTICB} <br /> WORK PROPCtSED NEW CdNSTR AdD/At'f �� SlGN Q Q DEMOLISH <br /> e tNSTALL `�- REFAIR <br /> PROPOSED USE [� SFR Q COMM � OTNER <br /> TYPE OF CCINSTRUCTiQN [�,,,] BLOCK Q FRAME 0 STEEL Q <br /> DESGRIPTIdN OF WORK c�;'D'f" �.°-=h�?� ��S ��t ��J'� /"h'�rfrl-- �l�'"/��� <br /> BUILDING SIZE �— � SQ FOOTAGE C� HEiGHT �___,�� <br /> �������N�'' �`��/_ 7��� VALUATION OF TOTAL CONSTF2UCTlON <br /> L L,�� <br /> QELECTRICAL �6 � AMP SERVICE Q PRQGRESS ENERGY C) W.R.E.C. <br /> [�PLUMBING ($ � ��_, �„� /�� <br /> �_ � t <br /> QMECHANICAL �$ � VALUATION OF MECHANICAL INSTALLATION A )0.�, <br /> �� (v <br /> QGAS � ROOFING Q SPECIALTY Q OTHER {�/�l-�Q-�" <br /> FiNiSHED F�OOR ELEVATtONS ��� FLOQD ZONE AREA QYES NO � �t�l <br /> BU!l.DER COMPANY <br /> SIGNATURE REGISTERED Y/ R! FEE CURRE� Y J N <br /> ` Address y License# � � <br /> El.EC7RICIAN COMPAI�tY <br /> SlGNATURE REGISTERED Y I Id FEE CURRE� Y J N <br /> address Ltcense# � '^� <br /> PI.UMBER � CQMPANY <br /> SIGNA7URE REGiSTEREp Y/ RI FEE CURRE� Y I N <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGlS7ERED Y/ Rf FEE GURREM1 Y t N <br /> �i <br /> Addruss License# �� �`i�� <br /> O?HER �Q�� COMPANY T��L��f�OW2fiCG}��//l�� /,�� <br /> S1GNA7URE REGlSTE42ED Y/ N fiE�GURREA Y/N <br /> Address �L�O /t�+�72� Q. ��l'f �3S f License# ��.C� ��/� ���1 <br /> RESIdENTiAI Attach(2}Plot Pians;(2)sets of Building Plans;(1)set af Energy Forms:R-O-W Permit for new conskruc8on, <br /> Minimum ten(1Q)working days aRer submittal date. Required onslke,Consbuct+on Plans,Stormwater Plans w!Silt Fence instaAed, <br /> Sanitary Facilities&.1 dumpster;Site Wark Permit for subdivisionsAarge proJects __ _ ___ <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a I.ife Safety Page;(1)set of Energ�Farms.-R-O-W Fermtt for new coi►struction. <br /> - - - Min'.mum t�m(10 j workir,g days after"�ubmittal date. Required onsite,Constructidn Plans,Storrnwater Plans w/Silt Fence InstaHed, <br /> Sanitary Facil(tfes&1 dumpster.Site Wark Pertnit for all new proJects.All commercial requMements must meet complfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •""PROPERTY SURVEY requtred far all NEW construction. <br /> Directions: <br /> Ffll out applicaHon completely. <br /> Ovuner&Contractor sign back of application,natarixed <br /> If over�2500.a Natice of Commencement Is requfred. {AIC upgrades avar 57540} <br /> " Agent(far the contraetor}or Power of Attomey(for the owner}wouid be someone with notarized tetter from owner authorizing same <br /> i DVER THE COUNTER PERMITI'!NG (Front of ApplicaUon Qn{y) <br /> � Reroofs if shtngles Sewers ServYce Upgrades A!C Fences(PloUSurveyfFootage) <br /> Drlveways-Not over Gounter if on pubHc roadways..needs ROW <br />