|
. � . :_.. .. :.-..<:',��.-- .. `�`:..:��.., '�,:,,
<br /> 813aeo-oozo - , ,;, Citytofi Zephyrhills Permit Application Fax-813-78Q�oo2�
<br /> 'l+yi�' . .' .;y: .I' .� ' t::sf�l�Cir�'.R2'+,N?�iY:"f.':r,��!ylrslir»1+Y�.�.:+a.e A t•.'e'r-s,';`l
<br /> ` � � 8uilding Department �'''"'`�` +'.
<br /> �' �- • ::r°;; ;,r: • .5:
<br /> , �.�r� t. •• .. '. ` .:: S� . '::...'L Z r:j;'?�:v l�n:�it:{i:: . , ii! {'
<br /> '.y,�f . . .pry ,r•,.r�,• ,n�i :Yi.�.�u ', ;:A;-�...';.3.t �'i�� .. - :�.
<br /> , '. � . i,� ..
<br /> , . << �1 n,..�.��� . ,.. ,. ,.., ti�:.; y.
<br /> Date Rece�ved �' " _ �,f.,. � ... ., . ::. .,r,�, �'-' .
<br /> �� : `�s.:`�',r;�`�� k Ei� t�13i°th�;lN3?'.,r•y.sY„ , ��
<br /> Phone-Coetast forPermttfin :-�..
<br />� � , ' _ _ " _-" . ��� .�'�.Y':.A'. .. . :j�
<br />' Owner's Name Owner Phone Number��:< � �._,�-. • , ,.��L• �.,.::�x`<,:� �,,:"_
<br /> Owner's Address I Gwner Phone Number � �
<br /> Fee Simple Titlehalder Name � C,/ { �;�w er Phone Number �— �
<br /> I
<br /> Fee Simple Titlehalder Address
<br /> I
<br /> JOB ADDRESS ��vZ` ��r'j�• IIS '�l` �3SZ�.. L07# ��
<br /> suaoiv�siaN ���j���j1y��1,i1�� PARCELID# 11-2-�-��- t�b�0-1t��IDq-bt10
<br /> (OBTAINED FROM PROPERTYTAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR ADO/ALT � SIGN Q Q DEMOLISH
<br /> INSTALL 8 REPAIR ,
<br /> PROPOSED USE Q SFR :�]� GOMM Q OTNER = )
<br /> TYPE OF CONSTRUCTION Q. ,BLOCK�°•",�;,'� FRAME � STEEL Q _
<br /> DESCRIPTION OF WORK `�� .:^ K��' �;+e' ���� �
<br /> .�,.
<br /> BUILDING S12E �.,SQ�F�4�T�AfiE ���lO I HEIGHT �. �
<br /> �
<br /> Q���14i�� � �/A4UATION OFITQTAL CONSTRUCTION
<br /> C.. ��;+ .....
<br /> QEl.ECTRICAI. $ f•� � ,�; � AilRP SERVICE Q PROGRESS ENERGY W.F2.E.C.
<br /> ��;, - , ,
<br />� QP�UMSING $
<br /> ��
<br /> I � ��
<br /> OMECNANtGAI $ VAI.UATtON OP MECFiANICA�INSTAElAT10N
<br /> �����
<br /> QGAS � ROOFING Q SPEClAITY � OTHER
<br /> FINISHED FLOOR ELEVA710NS FLOOQ ZONE AREA QYES NO
<br /> �
<br /> i
<br /> ` BUt�0EE2 � COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
<br /> Address � License# � �
<br /> EIECTRIClAN COMP�
<br /> SIGNATURE REGISTEREp Y/ N FEE GURRE� Y J N
<br /> ���8�$ � License# �� �
<br /> i PLUMBER ;�,;:>.,;.. CUMPANY
<br /> SIGNATURE ':;�'r� REGISTERED Y/ N FEE CURRE� Y/N
<br /> i
<br /> Aililress { �
<br /> .�.:j:.. .... .. ..,,..,. :;.
<br /> License#
<br /> F1�IECNANICAL y � ;�4:: . COMPANY
<br /> � SIGNATURE � � � '
<br /> •:,t��C�:;,"���,.;:+� REl31STERED Y/ N FEE CURREA Y/N
<br /> Address � License#
<br /> ..�–., ;.– '� •
<br /> OTNER ., _.�,,, �i., . i,+��: ('�
<br /> �% '�' COMPANY � YYl�t.V1 �C}{�C7
<br /> „ ;,. �. ,
<br /> , ,., ;�.�::�
<br /> ...... ,._ •.:.�. .,�.�_,.,;,,,.
<br /> SIGNIATURE " - �•• • �° R6GISTEREO Y N =• FEE CURRE� Y/N
<br /> I
<br /> Address 3 lD 13 "�'..+~YL rV�il�s F'2 3 I i.icense# � C:����i� �
<br /> RESIDENTIA! Attach{2)Plot Plans;(2}sets.af Buildi�g PEarts;{1}set af Ene�y�Forms;R-4-W Permit fcfr new constructian,
<br /> Mintmum ten(1Q)working days after submittal date. Requi�ed onsite,ConsUvction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilltles.&.1 dumpster,Site Work�Permit for subdivisio�s/large projects
<br /> COMMERCIAL Attacf�{3}compte#e sets of Buildlrig Pians plus a Life Safety Page;{1}set a€Energy Forms.R-Q-W Pemtit#ar new consttuction. --
<br /> _ . Minimum ten(10)working days'after submlttal dafe. Ftequired onsite,.ConsUuctton Plans,Startnwater Plans w/Silt Fence installed,
<br /> Sanftary Facilikies&1 dumpster.Stte Work Permit for all new proJecks.All commeroial requlrements must meet compliance '
<br /> SlGN PERMlT Attach(2}sets af Enginee�ed Ptans.
<br /> ""PROPERTY SURVEY required for all NEW constructlon.
<br /> Diractians:
<br /> Fill out applicatinn completely. �
<br /> Qwner&Contractor stgn back of applicatlon,notadzed
<br /> tf over�2500,a Notice of Commenaement is required. {AtC upgrades over$T500)
<br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter ftom owner authorizing same
<br /> DVER THE COt3NTER PERMITTING {Front af Application t3nty}
<br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Drivaways-Not over Caunter if on pubEio roadways..needs ROW
<br /> �
<br /> �, f:�:`^'ii' "
<br /> *i..a ?re�r,'i°„±
<br /> �/ ,. - ' ^.i:} -, '_'......... ....._.,i
<br />
|