|
a��-�so-oo2o City of Zephyrhills Permit Application Fax 813-780-0021
<br /> , � Bullding Department .
<br /> Date Recelved ��+ � � f � 3 � _ �� �,�
<br /> Phone�Contact for�Permittin
<br /> Owner'sName '� k�PAd����� (r�, ' �eC'dj��S C� OwnerPhoneNumber g�3- ��� 1�yo
<br /> Owner's Address Owner Phone Number �'!3 - 3a�-�t�z3
<br /> Fee Simple Titleholder Name � Owner Phone Number gi��325� ��t��'
<br /> Fee Simple Titleholder Address
<br /> �oe�►uoRess . ���07 �'�'�1 na.� �!� r 4�,��\s L. 335� �or# a�
<br /> � /� ` �
<br /> SUBDIVISION G�� f�'�('�S ' PARCEL ID# f 3���2����v 'd��—6Z/v
<br /> . (OBTAINED F.ROM.PROPERTYTAX NOTICE)
<br /> WORK PROPOSED � NEW"CONSTR ADD/ALT Q SIGN� Q Q DEMOLISH
<br /> INSTALL B� . REPAIR �
<br /> PROPOSED..USE � SFR Q COMM Q -OTHER �
<br /> TYPE OF CONSTRUCTION � � '-'BLOCK " Q FRAME Q STEEC 'Q
<br /> DESCRIPTION OF WORK � ��" ��e�- �/i� OG9S ef'I"]O(�L° /(9(p�(7 �f'r�JQ/IlJ �A1�5' CID,$'�/lU �N�p�
<br /> ��ce �' �7'a��"
<br /> BUILDING SIZE � SCl FOOTAGE ' ��?S HEIGHT ���S�
<br /> �' BUILDING $ / � ��-�p� ������
<br /> F]Q�,p� VALUATION''OF`l'OTAL CO�ISTRUCTION
<br /> �ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> OPLUMBING $ '
<br /> QMECHANICAL $ VACUATION OF MECHANICAL INSTALLATION � �h�
<br /> � ��� U C���
<br /> Q�S Q ROOFING ;Q SPECIALTY r] OTHER �
<br /> i
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO
<br /> BUILDER ^\ • � ' �C�MPANY� �����JI��� c,�l�/�.S/!��/C//�ts��
<br /> SIGNATURE v REGISTERED Y N FEE CURRE� N
<br /> Address ?���/�li� S%. � f��i�il�S � �.�3�y� Clcense# ��C l`�l 5 ,�Ii �'
<br /> t�
<br /> ELECTRICIAN; - - 'COMPANY " " ' � -
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE�`` Y/N
<br /> Address � , � . License#.
<br /> PLUMBER ` COMPANY �
<br /> SIGNATURE' " " , : REGIS7ERED, Y./.-N: ,. }:FEE CURREK , Y�/N
<br /> Address ` License,# . - =
<br /> MECHANICAL' � ' � COMPANY
<br /> SIGNATURE � ' ' � gEGI§TERED , J , Y,/ N ,Fee CURRE� Y/-N
<br /> l0.ddress'"� , � n , � - ^ License# � ,
<br /> OTHER � - ' V �`COMPANY - �
<br /> SIGNATURE -., •-� '' • � - ` REGISTERED Y/ N•... FEE CURRE� � . Y/N
<br /> . , �< , .- . . .
<br /> Address `�-= ,�;�. ; . " � • , �
<br /> License#
<br /> RESIDENTIAL°� Attach'(2);PIot+P,lans;;(2)set"s:of Buililfng��Plans;'(-1)set of Energy�Form's;;R-O-W'Perrriit for new construcUon,
<br /> - _� Mfnimum�.tena(:1.0);,working days.aRer„subtnlftal�date.��R:equlred onsfte;:Consfiucdon�Plans�Stortnwater Plans w/Sflt Fence installed,
<br /> ' � � ��Sanitary Faciltdes;&y1,,dumpster�3ite Wor1c;Permit fior su6diytsionsAarge;projects, . ` ;: ' - , - " `
<br /> COMMERCIAL Attach(3)�c;omplete sefs of Buildirig Plans plus a�Llfe Safety Pege;(1)set of Energy Forms.R O-W Permit for new construction.
<br /> Mlntmum ten(10)working days'after submittal date. Requtred onsite,Constructlon Plans,Stortnwater Plans w/Sflt Fenee installed,
<br /> _ Sanitery Facilitlas 8 1 dumpster:Site Work Permit for all new.:projecfs:.All commerctal_requiremenGs.must meet compllance
<br /> SIGN PERMIT AttacFi`(2)sets of�Engineeted,Plans.; :,.�-���: . � � � �
<br /> ""PROPERTY SURVEY required_for all NEW_constructlon..
<br /> Dlrectlons: . . '
<br /> Fill out applicaUon completely.
<br /> Owner 8 Contractor sign back of applfcaUon,notarized
<br /> If over 52500.a Notice of Commencement'is requlred. (A!C upgrades over 57500) '
<br /> .. ; ,,,,....,;��.' _ .
<br /> I\qent(for the contractor)or�Power of Attomey'(fo�tFie owner)would be someone with notarized letter trom owner authorizing same
<br /> DVER THE COUNTER PERMITTiNG'- �-•�(Fronfof:AppllcaBon Only)-� � `� ��
<br /> Reroofs if shingles Sewers Service�Upgrades:A(C,- Fences(PIoUSurvey/Footage)
<br /> ' . _ � . ' : - - ,-----._.._...._.._..._...___.._.__.._ ..�.._____._ .._.._ _ _._ , -
<br /> Drivewraya-Not over Counter ff on public roaduvays:.need"s ROW ., '. � '��'f F`�%'., =' , :;��;,�_,. .'i � ', i
<br /> .. ... , _ s � . •. ,�.. ...k '.. ..- .:.i � ���t�.i f1: • �,j r ' ' f.�t • �
<br /> • pp� ,� � .. �
<br /> � .. , 'L'' .':.�'7� , ,- '�1 ' �
<br /> 9.a.�...._� �.� ,... '.1 i '1;' t{ !
<br /> ".._._...._....-_.""'_�....,_.�._.,._.,.,,_.-_...._..!
<br />
|