Laserfiche WebLink
a��-�so-oo2o City af Zephyrhills Permit Application Fax 813-780-0021 <br /> - � BulldEng Depattment <br /> Qate Received > �>f..� � � <br /> Phane-Contact for Pen»Itt1n � 7rl d-�;�-� �- <br /> awner's Narne W - � w� ! � a �� Owner Phone Number <br /> Owner's Address p-� C-C'U(,I�% �S'� Owner Phone Number �� � <br /> Fee Simple Tldeholder.Name �� � Owner Phane Number �^ -� <br /> ..� <br /> Fee S(mple 7ltleholder Address ° <br /> JOB ADDRESS 'O � C O(,.��/ �'� � ��i'` LOT# �� <br /> suao�vts�aN �Aj�v i G',��tJ� a EL ID# 15� -�� - �'..?/� - o a„�l o u �� U � u <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORiC PROPOSED NEW CONSTR 8 ADD/A�T [� S1GN Q [� DEMOI.ISN <br /> INSTALL. REPAIR <br /> PROPQSED:USE Q SFR [� COMM �� OTHEi2 <br /> TYPE OF CONSTRUCTION [� BLOCK ' [� FRAME ��] STEEI. C] �n � <br /> : -��c� <br /> DESCRIPTIQN OF WORK � 1�rf-,/i%� �1lc� d--�l�,,� G�9�Ti�'L-f' Dyi, j <br /> BUILDtNG SIZE �� � SQ FOOTAGE c�.� t HEIGHT � � ,.,.. � <br /> �BUI�DiNG $ -��v� VALUATION OF 1`OTAL C0IVSTRl1CTION <br /> QEl.ECTR�CAI- I$ ^� AMP SERVICE Q PF20GRESS ENEi2GY [� W.R.E.C. <br /> � �jd3� <br /> o�������� � � �� <br /> QMECHANlGAL �S � VALUATtON OF MECMANICA�INSTA�LATtON <br /> QGAS Q RQOF#NG Q SPECIAI.7'Y [� QTHER <br /> FINISHED FLQOR ELEVATIQNS ��� FLOOD ZONE AREA C]YES NO <br /> Bi11L.DER � J � L�� COMPANY ,�S��CJ ��G�Gf� �° a <br /> SIGNATURE � �'"�� REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address License# �� � , <br /> E�ECTRICIAN. COMPANY � <br /> SIGNATURE M REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s � ticense# � � <br /> PLUMBER � COMPANY <br /> SIGNAYURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � � <br /> MECHANICAI. COMPAHIY <br /> SIGNATURE REGISTERED Y,/ N. FEE CURRE� Y/N `' <br /> Address` License# �� � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE cut�� Y/N_ <br /> Address - License# �� � <br /> RESIDENTIAI: •At#ach{2}Ptot`Plans;(2}sets=af.Bitllding E'lans;{1)set afEriergy=Forms;R-O-W Percnit for new wnsUuctian, <br /> Minimum;ten.(10):,working days after�subrriittal date. Requlred ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sa�itary Facilides,&a1,,dumpster,•Site�Work•P.em�it for subdivislonsAarge proJects - <br /> COMMERCiAL Attach{3}aainPfete sefs af Bulldirig Pians plus a Life Safety Page;(1)se#of Ettergy Fotms.R-O-W Pertn{t far new canstruction. <br /> Minimum ten(10)working days after submithal date. Required onsite,Canstructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FacllfUes 1�1 dumpster.Site Wark Pertnit for all new proJect's.Al!commercial requlrements must meet compilance <br /> StGN PERMIT A#tach{2}"sets of Engineered Plans..t. <br /> ,•«"PROPERTY SURVEY required for all NEW constnictfon. <br /> Dlrsstlons: ' , <br /> FIII out applicatlon completely. <br /> Owner&Contractar slgn back of appifcatfon,natarized <br /> {f over�2504,a Nattce of Commsncement is required. (NC upgrades ovar 57500j <br /> " Agent(for the cqn'tractor)or"Povuer of Attamey(for the awner)would be someone with notarized tetter fram owner authorizing sama <br /> DVER TFFE COUNTER-PERMITTiNG {Front of AppNcation Only) <br /> Reroafs if shingles Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Foatage) <br /> C►rivewaya-htot over Counter lf on pubflc roadways..needs ROW <br />