My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
15-16547
Zephyrhills
>
Building Department
>
Permits
>
2015
>
15-16547
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/15/2016 9:09:58 AM
Creation date
6/15/2016 9:09:57 AM
Metadata
Fields
Template:
Building Department
Building Department - Doc Type
Permit
Permit #
15-16547
Building Department - Name
GROH,MARIA GABRIELA-5234 MASS
Address
5234 MASSACHUSSETTS ST
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
�-__ <br /> � s�saeo-oozo City of Zephyrhills Permit Application Fax-81&780-0021 <br /> , . Building Depirtment <br /> Date Received phone Contact for Pertnlitting <br /> Owners Name �' Owner Phone Number � <br /> Ownet's Address ` Owner Phone Number <br /> i <br /> Fee Simple TiUeholder Name , Owner Phone Number ' <br /> i <br /> Fee Simple Titleholder Address I <br /> i �JOB ADDRESS � LOT# <br /> SUBDIVISION D 1 ' 1�� PARCEL ID� I <br /> � I (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED B nIEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTA�L REPAI I <br /> PROPOSED USE Q SFR Q COMM ID OTHER <br /> NPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK {I l LC P � tC C <br /> � <br /> BUILDING SIZE S�FOOTAGE I HEIGHT <br /> QBUILDING $ VALUATION OF TOi AL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �j�S`�� <br /> QPLUMBING $ � `V <br /> �CHANICAL $ /� VALUATION OF M ICHANICAL INSTALLATION <br /> r„� �� <br /> QGAS Q ROOFING Q SPECIALTY ID OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE iAREA DYES NO � <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTEREi Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERFD Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# <br /> MECHANICAL i COMPANY � �Q1 <br /> SIGNATURE / � REGISTERED Y�V N w FEE CURRE� Y/N � <br /> J f /�j 1 q �,[ <br /> Address �'G'L License# CJ c J <br /> � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building.Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construclion Plans,Stortnwa[er Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new�projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br />� ""PROPERTY SURVEY required for all NEW construction. <br />� Directions: <br /> Fill out applicalion completely. <br /> Owner&ConVactor sign back of application,notarized � <br /> If over$250D,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appliration Onty) I <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br /> I <br />
The URL can be used to link to this page
Your browser does not support the video tag.