Laserfiche WebLink
e�aa8o-ooao City af Zephyrhills Permit Application Fax 813-780-002� <br /> : r 8ullding Department . <br /> � <br /> Da#e Received �j-'�-��t► Phone-Gantact for Permittin fp -t L � <br /> Owner's Name �� �r � �,..� G ���t�,j jJ 5y <br /> Qwner Phone Nur»ber <br /> Owner's Address � �. f� 1 �. G.1�M� Owner Phone Number � � <br /> � � � �y�u�n �uuuuuu� ` <br /> Fee Slmple 7ltleholder Name � � � ��� Owner Phone Number �� ._ I <br /> „ „ ' , „_ <br /> Fee Simple tltleholder Address � d <br /> JOB ApDRESS J � � �,.` �f� (LL 5 LOT# [� <br /> SUBDIVISION �- � PARCEI.ID# <br /> {OBTAlNED FROM PROPERTY TAX NQTlCE} <br /> WORK PROPOSED �NEW CONSTR ADD/ALT � S1GN Q Q DEMOI.ISH <br /> INSTALL 8 REPAIR <br /> PFtOPOSED llSE . Q SFR Q CpMM [� OTHER <br /> TYPE OF CONSTRUC'fION �. Q t BLOCK � [�'� FRAME � STEEI. Q <br /> DESCRIPTIdN OF WORK � N Z„ i��l/ 5' (/1�'�'/�- �E?J��,q..y�, l l Lf�,,"�" <br /> BUILDING St2E �� i� SQ FOOTAGE��, HEIGHT C�� - <br /> QBt3tS.DiNG � � ^::,.'� _�=� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QEi.ECTRICAt. ($ '� � AMP SERViCE Q PROGRESS ENERGY [� W.R.E.C. <br /> L,,,,_ ,,,, „ <br /> LUMBING $ �� �( <br /> c � �� <br /> �� <br /> QMECHANICAI $ VAt.UAT10N OF MECNANIGAI.IRISTALLATtON <br /> ��$ Q ROOFtNG [� SPECIA�TY [-� OTHER <br /> FINISHED FLOOR ELEVATIONS �—W� FLOOD ZONE AREA QYES NO <br /> BUIIDER COMpANY <br /> SIGNATURE REGI$TERED Y/ N FEE CURREI. Y/N . <br /> Address Ctcense# � � � <br /> ELEC7RtC1AN ., COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE'CURREf Y/N <br /> Address � Ucense# C� � <br /> PLUiVlBER ��OMRANY (�1 � U/YL LN� L:�''� <br /> SIGNA7URE '� .���"� �a""" REGI$TERED Y N EE CURRE� Y/N <br /> Address ,License# C.T'� ��,�6 � � <br /> � <br /> NlECNANfCAI. COMPANY <br /> SIGNA7URE REGISTERED Y,/ N FEE CURRE� ' Y/N� <br /> Addres� . License# �— � <br /> OTHEtt COMPANY � - <br /> SIGNATURE REGISTERED Y/ N . Fee curtt�n , . Y/N <br /> Addreas Ucense# � � <br /> �RE8IDENTIAL: Attach{2)RtatrPla�s;.(2}setsaf BuitilEng:Plans;(1)set of�Energy Forms;R-O-W PermiE for`new construcfion, <br /> Minimum�ten-(-1.0)�working-days,after.submittal d"ate. Required onsite,ConstrUction-Plans;�Stormwater'Plans w/Silt Fence installed, <br /> Sanifary FaciltUes,&;1,,;dumpster 5{te Work�Permit for"subiiivi'sionsllarge projects <br /> OMMERCI Attach{3)camplete sets of 8uitdirig P(ans ptus a Life Safety Page;{1}set of Energy Fotms.R-O W Permit for new construcdon. <br /> Minimum ten(10)working days after submlttal date. Requfred onsite,Construcdon_Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Slte Wark Permtt for aU nev+r projeots.Ali commerciat_requlremenis must meet compiiance <br /> SIGN PERMIT Attach{2}sets of Erigiiieered°Fians.... ���,��" <br /> R�MM�,ROPERTY SURVEY reGuired for all NEW construcdon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contraotur stgn baak of appltcaUon,nota�ized <br /> if aver E2508,a Notice of Commencement Is required. (A/C upgrades over 5�500) <br /> `" Agent(for ttie contt�actor)or Power of Attomay(for the owner}wautd be someone with notarized letter from owner authoriztng same <br /> OVER THE COUNTER PERMI'iTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />