Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> '' ' 8uilding Department <br /> Date Received P a.Carrtac#far P�ri»I#1n �� - .��` <br /> hon l� <br /> Owner's Name �LaIG�"�J/�Er /�1QG�'r� d t.rTf�d S� Ow»er Phone Namber �� � �O-�° ca7eJ�J�� <br /> Owner's Addres� ���/ 1`4: �/ lJE'i Owner Phona Number � '� � <br /> Fee Simple 7ltleholder Name � Owner Rhone Number' � � <br /> , � � <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS �// J (.� f� �!� ' 6"'��GOLL�c'SdZi�'� � LOT# C�� <br /> SUBpIVIS10N � �� PARCEL ID <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPt3SED , e NEW CBNSTR� ADDlALT � SIGN Q Q DEMOt�ISN <br /> INSTALL. FtEPAIR <br /> PROPOSED USE [� SFR � GOMM � [� OTHER <br /> TYPE OF CONSTRUCTION • Q BLOCK �' [� FRAME [�„� STEEI. [� <br /> DE3CRIPTION OF WORK /1�lI7C��� t-- G�' /Q�ie �T/� �DD.l�Ji9�N /7 GA"' G� QN+-°/l� <br /> BUILDING SIZE � � SQ FOOTAGE�� HEtGHT C�_____� <br /> �8���'����"' I' � ^ � `VALUAT(ON OF 70TAL CONSTRUCT�ON <br /> L� .J <br /> QELECTRtCAI � � AMP SERiliCE Q PRt3GRESS EN6RGY Q W.R.E.C. <br /> QPi.UMBlNG �� ' . . <br /> QMECHAN2GA� $ � VA�UATION OF ECFtANfCAL 1NSTALIATION � 2 �U� <br /> ���i �,: <br /> �cas � aaa��rv� ..p s�EC�a�..�rir � o�E� <br /> FINISHED FLOOR ELEVATIONS � -� FLOOD 20NE AREA QYES NO <br /> BUlLDER CLtMPA�dY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address ' Llcense# � � <br /> E�C7FtlC1AN- COMPANY <br /> SIGNATURE Y' REGI$TER�D Y/ N FEE CURRE� •Y/N <br /> ' Addres� � License# � � <br /> PLUMBER � CONIPANIY <br /> SIGNATURE ,REaI$TERED Y/ N FEE CURREA Y/N <br /> , , <br /> i _ �"' <br /> , Addre�s ' License# ( � <br /> MECHANICA[. ` �� '� �• " �COMPAl�lY /�1�S f' �'��- � Lai <br /> SIGNATURE �'�'�� ���!�-�..-� REOISTER�D Y/ N FEE CURREP Y/N <br /> Addres$ � � �� �1�E' �e id License# C�/7"La d 'T 3�' "7�'V� <br /> � OTFiER COMP� <br /> i <br /> SIGNATURE� � rtEGls7ert�o Y/ N. FEE CURRE� Y./N. <br /> i <br /> Address ' Llcense#�� I <br /> RESIDENTlAI;. Attach{2}PIof.Plans;{2}sets=of.Btiltdliig~Pians,�{1)set af Energy�Forms;"R-O-W Permlt for new«�nstruction, <br /> Minimum;ten�(1.0)rworking days�after_subrrilttal date...Requlred:onsite,ConstiucNon P-Ians;Stormwater Plans w/Silt Fenc;e instelled, <br /> _ Sanitary�FaciliUes.&�-1,,dumpste.r.,Site�Woric�Permitf.ersubdivisionsllarge projects� <br /> COMMERCIAE. Attach(3}coinplete sets af 8ultding Plans plus a'I,ife Safety Page;(1}set of Energy Farms.R-O-W Permi#far new wnstruetlon. <br /> Minimum ten(10)working days aRer submit�l date. Requtre onsite,Constructlan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadliUas 8�1 dumpster.Si4s Wark Permtt for all new proJeats.°All commercial requlrements must mest compllance <br /> S1GN PERMi'Y AttacFi(2)sets af Engineered�Plans..:. ��~ �� ° ` <br /> "'"PROPERTY SURVEY reGuired,for aII,NEW consVuctian. <br /> Dtrectlans: • ' <br /> i <br /> Ffll out applica8on completely. I <br /> Owner&Gontractor sign back of applicaUor�,notaclzed <br /> if over�2504,a Notice af Commsncement is required. (NC upgrades over S75o0) .t <br /> " Agent(for the cantractor)or Power of Attortiey(fo�the owner)would be somleone with natadzed letter from-owner authorizing same <br /> DVER 1'HE C4i3NTER AERMI7'TfNG (�ront of Apptication Only} j " <br /> Reroofs(f shingies Sewers Service Upgrades A/C Fences(ploUSurvey/Footage) <br /> Drlvewaya-Not over Counter if an pubfic rosdways..needs ROW <br /> � <br /> � <br /> i — <br />