|
813aeo-aoao City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Bultding Depactment
<br /> Date Recstved Phone�Caetact farPetmltttn `�b 3 s g � 7� �
<br /> Owner's Name J A N!E 5 ��f �� Clwner Phono Nunnber 3.�c�" �s{�'j, � �f..�t�
<br /> Owner's Address �ro�a �R ti�AT E �j S Q-rj �{J� . , Clwaer Phone Numbsr �� �
<br /> Fee Simple Titleholder Name N 1 f�- � Owner Phone Number I �
<br /> Fee Simple Titleholder Addresa
<br /> JOB ADDRESS �I O M/q,f2 I E A�C 2 E P �I��'{J (-L S LOT# ,��
<br /> SUBpIViSION �s�A'�a. �Od'i'�,f3� PARCELID# ��'�.S-�J- o�sa -acao�Q - 3o�r�
<br /> • (OBTAINED FROM PROPERTKTAX NOTICE�
<br /> WORFC PROPOSED • NEW.CONS7R `I' ADDlALT � S(GN Q Q DEMQI.ISH
<br /> INSTALL � REPAIR
<br /> PRCIPQSED.USE � Q SFR Q COMM �� OTHER
<br /> TYPE OF CdN3TRUCTION Q' � BLOEK ` �] �RAME L'� STEEL �]
<br /> DESCRIP110N OF WORK e ���(- FtI1c�10� �t�► 1''q,I/Yt �1'a.l�jfJl �'(p l �C' O�'!E
<br /> BUILI3ING S#2E �� X � � � SQ FOQ7AGE ��o�� . . HEIGHT��, „�O',, �
<br /> QBUILQiNG $ �a s L � �� VALUATION:�OF�TO'I'AL CQNSTRUCTION �
<br /> QELECTR1CAl �"� AMP SERVICE Q PRfOGRESS ENERGY [� W.R.E.C.
<br /> (��LUMBt�a� ��.� - �ly`�b� � �a�1t���r
<br /> � ��
<br /> QMECHANIGAL $. . VAl:ClATiON OF;MEGHAN(CAl INSTA��,4i'ION � 2 ����,
<br /> ��� � l20QFlNG .Q SPEClAL.1Y C� OTHER J ��b5 {� '� -
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYEB ,NO r„� 'S``J`�` ��k ��9���.k�
<br /> � � ��� �
<br /> ��,«p�� �oM�;�,r� �-� P�c,� �,���3 a r �a r�s r�.0�r��a�
<br /> SIGNATURE REGISTERED Y/ N 'FEE CURRE� Y'/N
<br /> ,
<br /> �tdress .S� S. �2+��3`f� �E �b . �. G:. �� � [�cense�# � - I O a5 3 I 1 �
<br /> , „., — � ; : , ,
<br /> E�fCTRtC1AN, �,,� Q ;'COMPANY �T llc.� .c.r �-sr
<br /> SIGNATURE G��N"�t',G �"' - REGISTERED Y/ N F�cuR�n "Y 6 N
<br /> Address �O C} il G "t'E t�i`�5l L i/ '�1 C� , . ., Ucense,# � . �
<br /> ��uM�E� � - � - - cannpn�nr _ � a't� _ a r 6 o r n s f rc��f:r'�
<br /> SIGNATURE' , REGISTERED. Y./ N,; ,FEE CURRER' ': Y�/N:-
<br /> Address 1�.�� S. -� T�4 G � ��3 �•G. iresnse,# .Z� ` 1� �5.3 I I �
<br /> MECHAPIICAR: CQMFANY, �'C�C..� C��ST
<br /> SIGNATURE �� REGISTERED YJ N FEE CURRE� Y/�N= =
<br /> Addre�s�� d f� � (�j"f���' W-►'� � -�a C-J(}��} License# �_ I
<br /> OTHER ° ' i ;GOMPANY �
<br /> SIGNATURE .. � • � ' . , "' :`` ' -
<br /> ` REGISTEREb Y/ N.. � FEE CURRE� Y/N.
<br /> Addreas - - � ' � License# � �
<br /> RESIDEAt71AL',;= .A#tacti{2).,Plot�_P,latts;{2)§ef's`.bf Bulliling�Plans;{1)'"sefof'Energyrforms;`�R-0=W Perrr%itfornew construction,
<br /> :���Minimum�ken ,�1.0;,workin da � �
<br /> _�, (,,),_. g; ys_atter,:subriiiftal date.'Requlred onslte,=.C�cinstiucdon Plans;Stormwater`Plans w/Stlt Fence tnstalled,
<br /> �Sanl4ary Facil(Ues;&i1.,dumpste_r,�Slte Work,:Permit for subdivislans!laigerpro�ecfs � � `j
<br /> -- .COMiUIERG!A!. AtGach{3)-coinpf'ete se#s�of+BuiCding Plaiis plus a t,ife Safetyi Page;{'1}set of Energy Fotms.R-O W Permit for rse�tir constiuction, -
<br /> Mfnimum ten(10)worktng days�aRer su6mlthal date. Required onsite,CanstrucUo�Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Fadlides 8�1 dumpster.Stte 1tVork PemtiCior all new:pmJects:A!i commerciai requirements.must meet compiiancs
<br /> SIGN PERMIT Attac�(2)"'sets of Eiiglne,eced;t?ians;:;-.-.>.; ,
<br /> ••«"PROPERTY SURVEY r uireci for all NEW;construcdan.
<br /> -._. �9._.
<br /> Qfrec#tons: . . ' �
<br /> Fill out applicadon completely.
<br /> Qwner 8�Contractor sign back of appifcadon,notarized
<br /> tf over�2500,a Nottce of Commencement i�required, (A!C up�rades ovar 57500)
<br /> " Agent(for ttie�contractor)'or'Power of Attomey(fo�ttie owner)would be someone with notarized letter from ow»er autho�izing same
<br /> .,-r: ,.._�,:. � : .�,. ,_ .
<br /> OVER''i'HE COUAi'iER PERMITIING. . .(Front of.�APPlicatt,on�AOn1yI:-;='
<br /> Reroofs(f shingles Sewers Service Upgrades;A/C;u��,.rFences(Piqt/Survay/Footage)
<br /> i .. � ,. :, ;'>�.:;;,;� ... �4:- , . �. . ,. , , .
<br /> Driveways-Not over Counter if on public roadways:.needs,120W.� �
<br /> L • � ,. .
<br /> _ .,na. .. tx _w_•A .. . .
<br />
|