Laserfiche WebLink
� <br /> 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> • � k . <br /> Date Received Phone Contac#'for PermitNn <br /> Owner's Name Qwnez Phoae Number <br /> Owner's Address OwnerPhone Number � � <br /> Fee Simqle Tltleholder Name �_ � Owner Phone Number �- �� <br /> Fee Sfmple Titleholder Address ' <br /> JOB ADDRESS � G �� G s �-,t�-iJ� I I !�� (��"' LQT# � <br /> SUBDIVISION � � PARCELID# �� �-��z�Y' dl�2'Q��d��� ` '2'� <br /> �087AINED FROM PROPERTYTAX Nb710E) <br /> WORK PROPOSED • NEW CONSTR ADp/ALT C� S1GN Q Q DEMOLISH ' - <br /> � e INSTALL 8 REPAIR <br /> PROPO$ED�USE Q SFR Q COMM C� O'C"HER <br /> TYPE OF CON3'TRUC710M Q BLOCK ` Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I��L-PC-�JG-lh lj U 1�f�-t 2,�.�/?'i`f G-�=.,�' dc�%Lr T— cG,��F k!t� /`�rLQGJIl1'�-7 <br /> BUILDING SIZE � � SQ FOOTAGE�„� HEIGHT ��� <br /> QBUILpiNG �� VALUATIQN`OF TOTA4 CONSTRUCTION <br /> �ELECTR1CAl. (�$ i E� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � c�.CJd <br /> QFLUMB�NG �-� �l �G �� <br /> QMECHAtV1CR{. $ VALUATI4N QF MECHANICA�tNSTA{.I.ATION <br /> QGAS Q ROOFING Q SPEG4ALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [JYES NQ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N � <br /> Address License# � � <br /> ELECTRICIAM �./�/' COMPANY U��J�L lti �. .� ��j{I� <br /> $IGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address v �t vC�� I�� J,� 17t�� �L... - License# �G 13�0..�,J��' � <br /> PLUMBER COMPANY <br /> SIGNA'TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANiCAG COMRANY <br /> SIGNATURE REGISTERED Y:/ N FEE CURREA Y/N� - <br /> Address� License# i � <br /> fJTHER COMPJWY <br /> SIGNA7URE REGIS7ERED Y/ N.. -FEe cuttt�n Y•/:N. <br /> /Address License# �� � <br /> , _y � .::. ,•, <br /> RESID�Nl'1AL Attach(2};plot Plans;..(2}sets-of:Building Rlans;{1}setof Energy�Farm§;F2-0=W P`erisiit hir'_new constniction,_. <br /> Minimum.ten,(�1.0)working days.after`,'submlttal date. Required onsite;Constiuotion Pla�s;��Stormwater Plans w/Silt Fence installed, <br /> Sanftary Facitities&1;dumpster 59te•Work�P,ermlt tot subdivis{onsAarge`pm}ects- - :`+" � <br /> COMMERCIAL Attach(3)compiafe sefs of B�1lding Flans_plus_a�ife Safety Page;(1}set of Energy Farms.R-O-W Permit for new canstruc�tion. , <br /> --� �""� " - �` Minimum ten(10)working days�after submittal date. Required onsite,Constructlan Plans,Stormwater Plans wl Silt Fence installed, <br /> ..._ <br /> SaniEary FactliUes&1 dumpster.Site Wark Perm{t for a{I new�proJect's:At)commeroial requtreriients must meet compilance <br /> SIGN PERM�T Attacfi(2)sets of Engineered•;Flans.;,;� �� � - � 1 <br /> .«.«pROPERTY SURVEY required forali NEW aansWcdon. <br /> Dtreetion�: � <br /> Fill out appflcaUon completely. <br /> Owner&Contractcis slgn back-of appticatton,notarized <br /> If over�2500,a Notice of Commencement is required. (A!G upgrades over 3750Q) <br /> " Agent{for the contractor}ar'Power of Attamey(fbr ttie owner)would be someone with�otarized letter fram owner authorizing same <br /> DVER THE COUNT6R P,ERMITTINt3 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not qver Caunter if on public roadways..needs ROW <br />