Laserfiche WebLink
s�saao-ooao City of Zephyrhills Permit Application Fax 813-780.0021 <br /> _ � Butlding Department <br /> Date Received � � G- Phone Gontact for Permittln - <br /> Owner's Name "T��,�,t,,,�1 �� Caiy� Owner Phoae Num �� �� ' 7 � ' <br /> Owner's Address ���G'�3! �C��-i-'�"�"'� �Ve- ' Owrner Phone Number 0��J ' 3l-� - �5}�� <br /> Fee Simple 7itleholder Name r� -� Owner Phone Number �- � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C}���C� ✓�iA Z Yl if`��c{ t S LOT# C�� <br /> SUBDtVIS10N � � PARCEI.tD# <br /> (OBTAINED FROM PROPERTYTAX NOTICE? <br /> WOE2K PROPOSED , e NEw CpNSTR� ADDtALT � SIGN' Q Q DEM4�.ISH <br /> INSTALL. REPAIR <br /> PROPQSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK ' Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��� '�`���� <br /> BUFLDlNG SIZE � �� Sq FOOTAGE�� HEIGHT �� <br /> � �___Z� VALUATION OF TOTAL CONSTRUCTiON �'"`'�\ <br /> �u��i�v� � , r.. � <br /> �„ .., ` ;d" ` \ <br /> QEl.ECTRtCAL $ AMP SERVICE ���[� PROGFtES5 ENERG [� W.R.E.C. '� <br /> [�PLUMBfNG $ �I�� � � <br /> . -�� � p -�-y ; <br /> MECriAN1CAl I 1r��?lc�"'s� 1CJ <br /> C� $ VALUATION OF MECHAf�tICAI tNSTAlLAT10 , R � <br /> . � ^�!�i� C� ,t'"j � <br /> QGAS Q RQOFING J���j�� � <br /> Q SPECIA�.TY � QTHER �~' <br /> FINISHED FLOOR EI.EVATIONS FLOOD ZONE AREA �YES NO ,-rn, �,�",��� � <br /> L1 <br /> BUI�DER `� �� � s��� t CC1MPAi�IY � CJt�s -�'� // <br /> StGNATURE ._i'� REGISTERED Y/ N FEE CUF2RE� Y/N <br /> Addre�s License# �� �� <br /> _ E�ECTRtCtAN COMPANY <br /> SIGNATURE '' REC,IS7ERED Y/ N FEE CURRE� Y/N <br /> mdares$ License# � � <br /> PLUlt�BER � CONIPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> MECHANlCAL �pMpp,�,�yy <br /> StGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# �� ��� <br /> 07NER CQMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> '���� License# � � <br /> RESIDENTIAL: Attach(2)Ptat Plans;(2}sets af Bu8d3ng"Plans;{'!)set of Energy Forms;R-O-W Permlt for new canstruction. <br /> Minimum ten(10},working days after.submittal date. Requtred onsite,ConstrucUon Plans;Stormwater Pians w/S(It Fence installed, <br /> Sanftary FaciliUes&7.dumpster,81te Work:Permit for subdivisions/large proJects <br /> COMMERClAL Attach(3)complete sets of Buittlirig Plans plas a Ufe Safety Page;(1}set at Energy Fotms.R-O-W Permtt for new c;anstruc�on. <br /> Minimum#en(10)working days after submittal date. Required onsite,Construckfan Plans,Stormwater Plans w/Stlt Fence installed, <br /> Sanitary Facllides 8�1 dumpster.Site Wark Permit for all new proJects.All commercial requlremenks must meet compilance <br /> StGN RERMlT Attach(2}sets af Engineered Rlans. <br /> "*"PROPERTY SURVEY required for all NEW canstruction. <br /> D#recttans: <br /> � <br /> FII�out appllcaHon wmpletely. <br /> 4wner&Contractar sign back of appltcaUon,notadzed <br /> If over$25Q0,a Notice of Commencement is reqaired: {AtC upgrades over�Ts00) <br /> " Agent(for the cantractor)or Power of Attomey(far the ow�er)would be someone with notarized letter from owner authorizing seme ' <br /> OVER THE CQtlNTEl2 PERMI'CTING {Front,of.AppllcaSon:Only}=, <br /> Reroofs if shin les Sewers_ Service.0 � ` � •�,`••M^.��� u - -.,= ... .-,- .. - .<. -. � <br /> 9 ...,;,,P9�,des,A/C ' Fences(PIoUSurvey/Footage) , .� , <br /> : : � ,- t . .. '�t <br /> _ � . _ , , <br /> Drlveways-Not over Counter if on�pubiic.r,oadways::aeeds ROW ' `` + - . .;` <br /> �_� � . .. � , ' �.... •' , .1�. �� - c , . , i; <br />