Laserfiche WebLink
8��-�ao-oo2o City of Zephyrhills Permit Application Fax-813aso-oox� <br /> Building Department <br /> Date Received �. J`� - j� Phone-Con#act for.Permlttin .� 0'2 , c�/ — �/'��7�� <br /> Qwner's Name �C?� Qwaer Phone Number �'3 �3rs' 117� <br /> Owner's Address ;r .2u..r /'/ ' Owner Phone Number � � <br /> Fee Simple Titleholder Name �. � Owner Phane Number � � <br /> Fee Simple Titleholder Address <br /> JOB AqQRESS t.�.�v�.Q..,. LOT# �___� <br /> SUBDIVISION �/�Gt,�� �r)r"�CDztD I PARCEL Iq# � � 9 V Q d d�� j <br /> (nBTaNED FROM PROPERTY TAX NQTICE) <br /> WORK PROPt�3ED NEw CONSTR AOQ/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM d OTNEFt [ Sl� C' .�i.E.��.cx.��,�,.Z� <br /> TYPE dF CONSTRUC710N Q , BLOCK �] FRAME � STEEL. Q � ""�� �� <br /> pESCRIPTION OF WORK l/ � Z� /` �� � � � p�r' <br /> BUILDING SIZE � � SQ FOOTAGE HEIGHT C____� <br /> QBUII.DING �� VALUATION OF TOTAL CONSTRUCTION <br /> QE�ECTfttCA�. � � AMP SERVIGE Q PROGRESS EhlEFtGY Q W.R.E.C. <br />� QPCUMBtNG � � <br /> �j�!�MECNANICAL $ r <br /> , ty _� w � VAlUAT10N OF MECMANICAI.INSTA�LATiON <br /> b <br /> �c�s 0 RooFl�� � sPeciA�.rr � OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> �ua�o�� -- — _ ___ ca�w�r�r - - -- - - _ , _ <br /> SIGNATURE REGISTERED Y/ N FEE CUF2RE� Y/N <br /> Address License# � � <br /> E�ECl"RtCtAN COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> PlUMBER � CBMPANY <br /> SIGNATURE � REGI3TERED Y/ N FEE CURREA Y/N <br /> Address License# � `� <br /> ��ct���caL co��a�r ��-f ��1� a�-, <br /> SIGNATURE REGISTERED Y U N �E curt�tEn N <br /> Address ��2�o`Z. Gt.1 � � k�i �� .�3tc�S� License# ���}��,���1 ,� <br /> OTNEFt COMPlWY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address � License# � � <br /> RESIDENi7Al. Attach{2}Ptat Plans;.�2}sets of Building`Plans;{1)set af Energy�Forms;R O W PeRnit for new r�nstructian, <br /> Minimum.ten.(10)working days aftet.submittal date. Requl�eii onslte,Constructlan Plans;Stortnwater Plans w/Sllt Fenae installed, <br /> Sanitary Facili8es&1.dumpster Site Work�Rermit 1`or subdidisfonsAarge proJects <br /> CBMMERCIAL Attach{3)complete sets of Suildirig`Plans ptus a i.ife Safety Page;(1)set of Energy Forms.R-O-W Retmit for new canshuc�on. <br /> ' Minimum ken(10)working days after submlttal date. Required onslte,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllides 8�1 dumpster.Stte Work Parmlt for all new proJects.Al!commercial requtrements must meet comp!lance <br /> SIGN RERMtT Attach{2)sets af Eitgineered Plans.. <br /> , "**PROPERTY SURVEY requireti for all NEW canstrucdon. <br /> Dlrecttans: <br /> FIII out applicatlon completely. <br /> Owner&Cantraator sign back of applEc2t@on,notadzed <br /> If aver a2sd0,a Notice of Cammencement is required. {AIC upgrades over;7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)wauld be someone with notarized letter fram owner authorizing same <br /> DVER THE CbUN'fER PERMI'IT1NG (Front of Applicattan Only) <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PIoUSunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RdW <br /> � <br />