Laserfiche WebLink
� <br />' . 81&780-0020 City og Zephyrhills Permit Applic�tion Fax�t3780-d021 <br />� = Buildiog Depar6neM <br /> ���QCO�Od Phorto Contnct�or Permi <br />� OwnoraName i�C.-I 1 � �� OwnorPhortaNumbm 3-3�a-g g� <br /> Ormera Addrnss ✓�J{ O� � ��� Owner Phw�o Numbor <br /> w <br /> Foe 3impfo Titleholdor Namo Owrser Phono ASumbor <br />� Foe Slmple Titloholder Addroas <br /> JOBADDRESS LOTa � <br /> SUBDIV1310N PARCEL I� <br /> {�Alf7ED Pit034 PR6PFRiY 7AX NOTSCQ <br /> WORK PROP0.SED B NEW CONSiR B ADDlALT Q SIGN Q Q DEMdLISH <br /> INSTALL REPAIR <br /> PROP�ED U3E � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTiON Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRiPT10N OF WORK � � S�C�.� � �l C�17 �QC C S S��-�'� 1 <br /> BU9LDING SIZE SD F�TAGE HEIGHT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUC110N <br /> QELECTRICAL S AAAP SERVICE Q PROGRESS EPIERGY Q W.RE.C. <br /> QPLUMB�NG $ <br /> �MECHANICAL S ` 1� VALUATION OF MECHANIGAL IPISTALLATION <br /> �1. <br /> D�as Q ROOFING Q SPEClALTY Q onieR <br /> FlMSHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES k0 <br /> S o L�=s�c'�i�§—' a�R..�Le _ _.—.__e..ii lia 1 Yg�„'�,.'r,t� <br /> BUtLDER COlWPANY <br /> SIGNATLRE ��iss�xm Y!N �cuwtm Y/N <br /> Addrass Lioense� <br /> ELECTRlCIAN CO�YIPAWY <br /> SIGNATURE �cus�ID Y! N �E cun�n Y/P1 <br /> Address IScense S <br /> PLUMBER COMPANY <br /> , StONATURE REGISTERED Y/N �cuaRtT Y/N <br /> Addre3s Lioense S <br /> AAECHAWICAL CO{'APdNY �Al 1-Tec.h 'A i r � T�1�11 W'�) <br /> SIGidATURE RE�IsrertID N F�cuRREn Y/A1 <br /> �d,� �35q s+ctt� � ��� �1C 1 <br /> on+eR co�nP�wv <br /> g���� �c,�sr� Y!H �cuRr<[-+. Y/N <br /> aaaro3s u�nso i� � <br /> � 0etC1l911lIIAIIOIf ! l17AIOAIeeaaeraooesesaeeaoeaeeee � � o � olYl509BCEA <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seLs of Bu�7ding Plans;(1)set of Energy Forms;R-4Yd Permit far new cartstrucfSon. <br /> Minimum to�(10)working days after subrnirial date. Rey�red onsi0e,Constructio�Plans,Sfortnweler P4�s eul Sftt Fence ins�ed. <br /> SanMary FadGties&1 dumpsi[sr,Site Wotk Partnit for subdivisiottsl{atgs pro�ds <br /> COMMERCIAL Attach(2)complete sets of Buildmg Plans ptus a Life Safety Page;(1)set of En�vgy Fwrns.R-O-W PErmit tar new co�Uve!1en. <br /> Minimum ten(10)�wAdng days after subrtdttal dote. Roq�ted onsite,Construcdai Pians,Stnrmt�ates Ptans Md S�Fance instaMed, <br /> Senitary Faalitias&1 dumpstet.Siie Waic Pertnit far ell nc�+v pmjecLs.AA commerc�l requ;temaMs must meet comppEnee <br /> S�GN PERMIT Attach(2)sets of Engfneered Plans. <br /> ""PROPERTY SURVEY required for all NEW constnKtion. <br /> � s e n.e • e_�2 e__x3.A_RJ�^° ) 9 �� •�= e • RJ�Jl* _ — i_A w v �..... <br /> DiraeUons:• <br /> FID out eppNcadun completely. <br /> Owner&ConUactor slgn badt of apptication,notarized <br /> H ovor$260i1,a Notlee of Comrrtancemant Is requirod. (A/C upgrade�av�r$%SCQ) <br /> " Agerd{for the contrac[or)or Pow�r af Attomey(tar the wme�wouid be samearte vrit5 nofa�ized IeG�s frnm ovme;9u�2crizing same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> ReroMs if shingles Sewers Service Upgrades A/C Fences(PIoVSunrey�octege) <br /> DAvewuya-Not over Counter if on public roadways..needs ROW <br />