|
s�s-�eaoazo City`'of Z�phyrhills Permit Application Fax-813-780-ao2�
<br /> � Bu11d'tng Department ,
<br /> Date Racetved � phone Car�#act for Ps�tttin -
<br /> Owner's Name JUSG t-t�YYXLvtG�Q�- Owner Plsone Number 35�'������1
<br /> Owner's Address �9/3� OLIJ!�1/GG ,cN � �,-hj JIS,�'L 33 Owner Phone Number � ��
<br /> Fee Simple Tltleholder Name Owner Phane Number � �
<br /> i
<br /> Fee Simple Tltleholder Address
<br /> JOB ADDRESS 3°t;�9' btic� fu�tl Ln �-e�ph r�l�i�lt5,�t- �335�a. �or# U 340
<br /> SUBDIVISION �UrY�mer j�1+1�; —� ppitCELtD# 1�a�'a)-O�Dti- Obt�aU� b3y(}
<br /> (OBTAINED FRQM PROPERTY TAX NOTlCE)
<br /> WOi2K PROPt3SED NEW WNSTR ADD/AI.T S1GN [� Q pEMO�iSH
<br /> INSTALL 8 REPAIR
<br /> PROPOSED tlSE Q 8FR Q COMM OTHEFt
<br /> TYPE OF CONSTRUGTION Q BLOCK [� FRAME STEEI. C]
<br /> DE3CRIPTIdN OF WORK �e �0� ��I �C7j.C.. ,
<br /> �
<br /> BUILDING SIZE �� �� �q,FOOTAGE ��� I HEIGHT C��
<br /> OBU������' �s� VALUATION OF TOTAL COIVSTRUCTION
<br /> [�EI.ECTFtICA� � � AMP SERVICE Q PFtOGRESS ENERGY Q W.R.E.C.
<br /> QP�UMBlNG �$ �
<br /> L �� .�
<br /> QMECHANiGAL $ VALUATtON OF MECHANICA�tNSTAtIATIQN � �
<br /> � ��9�d-= S
<br /> QGAS ROOFIltit� Q SPECIAI.TY C� OTHER
<br /> FINISHED F1.00R ELEVATIQNS �'_--�� FLOOD ZONE AREA G]YES NO
<br /> a
<br /> �ui�.o�� coMRAr�nt R �a.n �.aO�i`h
<br /> SiGNATURE REGI3TERED Y/ N FEE CURRE Y/N
<br /> Ad �s '��O � t�1 Y'il�.t1 �---L 3 3 � License# � �
<br /> ELEC7RICIAAI+1! COMP�
<br /> SIGNATURE REGISTE ED Y/ IV FEE CURRE� Y/N
<br /> Address � Ucense# �— �
<br /> PLUMBER CONPPANY ,
<br /> SIGNATURE ReGISTE�eo Y/ N FEE CURRE� Y/N
<br /> Address � License# �— �
<br /> MECHAPi1GA1. COMPA I Y ' ;E
<br /> SIGNATURE REGISTEFiED Y/ N FEE CURRE� r Y/N
<br /> Address ' License# �� ' ��
<br /> OTNER COMP� C� VYW..�'t �t3�"t t
<br /> SIGNATUR REGI$TERED / N . FEE CURRE� Y/N
<br /> Address U !3 �YL. -e h � il� 5 � License# ��C 1�7-S5T1''"j �
<br /> RES3DENi7Al: Aftach(2).Piot Rtans;(2}sefs-cf�Btiilding Plans;{1}set of En�rgy�Farms;R-O-W Perinit for new�nsfruatlan,
<br /> Mlnimum ten.(10)working'days aftec.submlttal date. Requlred onsite,ConstrucNon Plans,StormwaterPlans w/Silt Fence installed, �
<br /> San(tary Faciiides&.1,dumpster Site Wotk�Rertnit for subdiv.�sions/large,proJects '
<br /> COMMERCIAL Atbch(3)cornplete'se#s of Bellding Plans plus a life Safety Page;{1)set af Energy Forms.R G1-W Parmit far new canstructlan.
<br /> Minlmum ten(10)working days after submlttal date. Require�d onsite,Constructian Plans;Stortnwater Plans w/Silt Fence installed,
<br /> Sanftary FaciltUes 8�1 dumpster."Site Work Pertnit for.all new projects.All commercia#requkrements must mee!complfance �
<br /> SIGN PERMIT Attach{2}sets cf Eng,l'neered Ptans.:, '> . � - .. _ _ s .�
<br /> _;��„�,�",�?Bfl6t�RTY�SURVEY"required for all NEW consWcdon. � ,
<br /> „��.,. - -
<br /> .�,
<br /> r_ -�>.` ,,
<br /> Dlrec�ttirl"s:f �1�'1 :� . ., �;;~Y =. . `�_n^r},.� ,
<br /> '� t�=t:talc,Filfouta�p(i°c�l���o �•' �� �' �'�' �;':`'^
<br /> ��,a"i � 1 �m�: �' � . � q::� i:i"�:1`t 4�i1.��":�'. 4(�#+ �
<br /> _+{'.C1`w�er&C'dnffa'c�or�sfgn;b�k of•application,notarized � . _ � + :�_ .
<br /> � 3';tf>aver 52840;'a'Notice`#if Cbinmencement is required. {AlC apgrades�'ver S750d)'i �' '�'ty;,��_�?�',� �',, � " < � ___.
<br /> ,•�P U.� ,, '°: i- _ �
<br /> I . . .; , a*�.
<br /> ,.;� ,�r:Cia. �c�.tr,.t: :�t�r.r,t ?�., '��t;r'.�i�i�' �
<br /> - »'"�: Agerit(for the contrac� r� P-w r of At�omgy(�p r.t�e qw r ouId be someone�with nota�ized letter�f'0m o�( � zin same<. �
<br /> :<�YS�?�ts.::�..aalacM�k.e�+_., :-•,�'..:-�`.,�+`'�A�-"�r°=-•����ir.::r�i�����1�#�'..a:�k'f.wt:r�.+4�►.mr����'
<br /> `,�A
<br /> OVER THE COUNTER PE ITTINC�, (firont.of Appllcatior�X�iij�t�.� � ,::.�,�,, �.
<br /> i���•-."�•'_• irit�'� � . n�}">,w,'�i�?•
<br /> Reroofs if shingles Sewers _r ����eice Upgrades A/C `��hc (Plot/�Survey/Footage) , �R t g fi'� �;�::r�:c;:% a
<br /> � � ..'.. ��.f � .,}. m4.c :ffi`� �V`��s"er:IEeli �3�E,�'�,, `i,
<br /> Driveways-Not nver unter if�an pab���dvvays..naeds`ROW=. � c:rai;�irtrr`i�.�3 4�k= =
<br /> �at�Qll .F"+«,�.. �� ; , �r�,ir::e y�!
<br /> .,�•_ ":._A1"`o`%.%, ar9-°-�4'.t`K>:. . -- y ✓A/ P,.�;
<br /> . _. _ `:.3s�FrPtJyq+
<br />
|