Laserfiche WebLink
I S�r� <br /> �-- � �� <br /> a�a-�aaoozo City of Zephyrhills Permit Application Fax-813-780-0021 ��3„��LI.,6 �Zy <br /> Building Department <br /> . ` Sm,"lt ela�nFo�.�t <br /> Date Received phone Contact for Pertnitting �'S ���` - �/ /� <br /> Trrrrr <br /> OwnersName (,',q e�4 •va /Ulicl�c.z� t, � au_ {V1 OwnerPhoneNumber <br /> Owners Address //33S Fo�fi �:��n, �� �+dt ct� 33S S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �ZA� G l^� S�a Q � Zt v �n ( F/ i 3523� LOT# � <br /> SUBDIVISION PARCELID# , -ocJr'" ��U -n Qo•�no� 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R� ADD/ALT 0 SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK _a ia '" O�.h"�i�u q"�� ���! �vlvii, - �uv►�I�!°fl S't'�h!I Z� d:, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT `,w� <br /> TI"ITTI"ITTTrT TI"ITTTrTI"ITT1"IT 1 Y-V/ <br /> �,r�v <br /> OBUILDING $ �� ��� VALUATION OF TOTAL CONSTRUCTION �� <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br />' OPLUMBING $ 1.��'Q. �1G <br /> J � S L���"'I <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l �� <br /> �� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � , � C��S <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ��/� <br /> ���...r......r.�G���.��.-.-..�r:-.�-r�''��:..�T:-:-:-7-: • •-.��:�:-F� . . ...-r..-.��.��...r...r� <br /> \ <br /> BUILDER C. COMPANY �J�I�lM�t"�'IOL leUtir+o{v �e, <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/ <br /> Address PU ' > �Zl3 sct,.� ,�✓�-{-dW a /L � License# C+���a-��y <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days afte�submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit fo�subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""*PROPERTY SURVEY required for all NEW construction. <br /> .�1--��1--�1-��I-�1-��1..1-4-�1-S�.T�I-�I-.F�1-��1--�1--FFS�...r�l--�'.�.-.�.��.�.�.-.�-r�1.��4.1-{..f..4- <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />