Laserfiche WebLink
� <br /> s�a;�ao-oozo,� - _ City of Zephyrhills Permit Application � � "�" - -��8�3-7ao-oo2� <br /> � Bu[Id1ng Department • ; , <br /> DaEe Received `��j--,�--r���, Phone Gontact for Permitfin ��� �'8 = `- �/ <br /> ��1-1-T1- � - . ., _ _ <br /> - -- -._, ._._._. o <br /> Owner's Name L [.�C ,r Owner Phone Number <br /> / �l s-fie �s1r,i2 2 8�-sr <br /> Owner'sAddress /,�f� ,I'1l� /JQe� l�C� OwnerPhoneNumber � � <br /> �• <br /> Fee Simple Titleholder Name �! � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 1 C� /C.IGY " kG{ 1 � �3 sY [.OT# �•►Z- <br /> SUBDIVI810N �t�frG �1�,�S I FAftGEL ID# �1—��-� t�Gd3!>— ��'��— �7S1� <br /> (OBTAINED FROM PROPER7Y TAX NQ17CE) <br /> WORK PE20POSED e , NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLlSH <br /> iNSTALL REPA►R <br /> Pf20POSED USE Q SFR Q COMM � QTHER <br /> TYPE OF C4NSTRLtCT10N Q SLOCK Q Ft2AME � S7EEL Q <br /> DSSGRtPi'iON dF WORK tYl� I � / �C�1 U� <br /> BUlLDlNG SlZE o��G"� � SQ FOO7AGE O� HElGHT C�� <br /> -�-r-trr'e-�-rr•'r�'-e�t-rr'rt-�-rri-z-�-t-ri�rrr�-�-rrR"rrs-�e's-rrre-e�i"rri-x-re-r"s�rr'm- <br /> QBUILDING $� �-�� VALUATION QF TOTAL CON�7RUCTION <br /> 'QELECTRICAL � . � AMP�ERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING � � � ��'J �(�� <br /> I ( <br /> QMECHANICAL �� VALUATION dF MECHANICAL INSTAL.LATION <br /> OGAS Q ROOF�NG Q SPECfAL.TY � OTHER <br /> F1NiSHED FLQ4R ELEVATlQNS ��� F1,OOD ZONE AREA QYES NC? <br /> -�M-1-f�-1-F-1-�1-a-1�-�-1-1-X-�--f-M-1-a-F-I-1-F-1-I-1--1-k-1-1--1-�f-{-i-1-t-i-1-#-i-f-f-1-F-a-I�-i-1-F-1-�-H--t-t--f-I-#-�-f-�i-1-1--f-E-1-1-�- <br /> BUILDER /�� ��Y� s �aY1�� COMpANY �Glk �lL7� �Gll`i'/~ L/d'"` <br /> SIGNATURE f "��`� REGISTERED Y! N FEE CURFtEN Y/-N—� <br /> Address ,,� '�j'� / �t ���/l��3 rys'" License � j-Z (o �c,7�'� <br /> .. .. ..... <br /> EI.ECTRICiAN � �. COMPANY O/'�h �"G �G <br /> SIGNATUI2E _„�»-+� , REGISTERED Y/ N FEE CURREN Y/N <br /> Address ��' ..� ? �ft�j( �-1� 3 S'�3 License# �� G�i D��{Y3 � <br /> 8l.UMBE32 CONiPANY <br /> SIGNATURE REGISTERED Y/ N FHE CURREN Y/N <br /> Address License# �_ � <br /> MECtiANICAC r j�� /��/�a�� �t Q� { � GOMPAt+tY �eL/�',S' �C... <br /> SIGNATURE f � REGISTERED Y/ N FEE CURFtEN Y I N <br /> ABdress f /�fT !2t`t ..-L- �'3s�s �.icense# C'//F��G (���� ��� <br /> 4THER - � GOMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y!N <br /> Address Llcense� � �� <br /> 111111111111111111IIIIIII 'It111II11I1I1111tI1i111tIt11lit1i111ii1111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(.1)set of Energy Forms;F2-0-W Permit for new canstruc#ion, <br /> Miolmum tgn{10}working days affer subrriittal date. Required onsite,Ganstruction PIans,Sta�mwater Plans wl Si1t Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisians/large projects <br /> COMMERCIAL Attach(3)compleYe sets of Building Plans plus a Life Safety Page;{1)set of Energy Forms.R-O-W Perm(t for new construcBon. <br /> Minimum fen(9 0}warking days affer submiftaI date. Required onsite,Gonstruction Plans,Starmwater Plans wl Silt Fence 3nsta](ed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> ****PROPER"{Y SURVEI'rsqulred for a11 NEV1!constructlon. <br /> -N-�-i..1.�.4.1-i-1-i.d-1-{.�L-i.�l-1-t-1-f-1-1-1-�1-6-1--1-I..i-f-i-1-f-L-1-l.�l-L-I..:1-I-�M.�I-{..1..1-i..f-1-1..1-1-1-i-I..I..M.�4-f-W..f-b-1-W.f-1-h <br /> Dlrections: <br /> Fiii out apptication completeIy. <br /> Owner&Contractor sign back af appllcafion,notarized <br /> If over$2500,a Notice of Cnmmencement is requlred. (A/C upgrades over$7500) <br /> ""` Agent{for the cantractar}or Power af Attamey(far the owner}would be sameone wifh notarized letter fcam owner aufhodzing same <br /> OVER THE COUNTER PERMITTING (Front af Application Only) <br /> Reroots if shingles Sewers Service Uggrades AlG Fences{PlotlSurveylFaotage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />