Laserfiche WebLink
813-7 0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> .- ' Buitding bepartment <br /> Date Received 1 <br /> Phone-Contact far PennitEin <br /> Owner's Name Owner Phone Number � „��,��� . <br /> Owner's Addre s � G L Owner Phone Number r � <br />' Fee Slmple Tit eholder Name � � Owner Phone Number � � <br /> i <br /> Fee Simple Tit eholder Address <br /> JOB ACIDRES LOT# I� � 1 <br /> I, SUBDiViSION �j'(''��,� �f} 11� PARCEL ID# �(�' - —(� ,3 <br /> (OBTAINED FROM PROPERTY TAX NQTICE) <br /> WORK PROP SED , N£W CO3vSTR � ApDJALT � S1GN Q CJ DEMOLISH <br /> e INSTALL 8 REPAIR <br />� PROPOSED U E , Q SFR Q COMM � OTHEft <br /> 7YPE pF CON 7RUC'170N Q BI.00K Q FRAME � STEEL Q <br /> DESCRIPTIO OF WORK ,� � $' � �� <br /> BUtLDING SiZ SQ�OOTAGE�� HEIGHT C�� ' <br /> QBUI i}1NG �6 � VALUATION C!F TOTAI.CONSTRUCTION <br /> QEi.E RICAI. � AMP SERVIC6 Q PROGRESS ENEi2GY Q W.R.E.C. <br /> QPLU 81NG �� �;���''��� <br /> 3�� L- <br /> QME NANtGAI $ � t,�y VAIUATlON OF MEGHRNtCA[.INSTA�lATIC?IU ��} 1� // ,� <br /> OGA [� Ftt70FfNG Q SPECIAI.'fY � OTHER � j �� v <br /> FINISHED FL �OR ELEVATIONS FLOOD ZQNE AREA YES NO �� ✓ `@� <br /> 0 1� �"�" l� <br /> �4Jt�t?�6� -- COMpANY - <br /> SIGNA7URE , , REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres� Ucense# � � <br /> E�ECTRlCI CBMPAt�tY <br /> SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> Address � L(cense# r� �� <br /> � PIUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# C. <br /> ,_,�„_ ,,, <br /> MECNANIC � ��j _ 1,,��;,,� COMPANY � {�1{' k-C 0.t �'lo ' �. <br /> SIGNA7URE �'"'�"'�"- �'�-�"�"�-�'� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �,�� �,(� �� W�p�^-,�� �L. 3S License# � —� <br /> OTHER COMPANY <br /> i SIGNATURE , Re��s7'EREo Y/ N PEE CURRE� Y/N <br /> Ac3dress , License# �� � <br /> RESiDENT1i41� Attach{2)Piot Plans;..(2}sets af:Btillding`Plans;(1)seE of E�ergy Forms;R-O-W Pemilt i�ar new constnsction, <br /> Minimum;ten,(10)working days after submlttal date. Required onsite,Construction Plans;Stormwater Plans w/Sflt Fence installed, <br /> Sanitary FaciUUes&1.dumpster Site'Wor6c Permit for subdlvisionsAarge projects <br /> COMM�RCI Attach{3)complete sets of Bu3tdirig Plans plus a life Safety Page;{1)set af Energy Fotms.R-0 W Permi#far new canstruc6on. � F <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> San(tary Facilides&1 dumpster.Site Work Pertnit for all new proJects.All commercia!requlrements must meet compllance <br /> SIGN P�RMt Attach{2}sets of Etiglrieeted Rfans.... <br /> ••'•PROPERIY SURVEY required for all NEW construcBon. <br /> Dtrectlons: . <br /> Kill out a plicatlon completely. <br /> Owner 8 Contraotor sign back of appt(caUon,notarized <br /> If over� 504,a Nottc�of Cammencement i�requtred. (A!C upgrades over$T500) <br /> `" Agent(fo�r the contractor)or Power of Attomey(for the owner)would be someone with natarized le8er fram owner authorizing same <br /> OVER TNE C�UNTER PERMITiiNG ��•r;- {Eront of;ApplEcatiomOnly}�_, <br /> Reroofs if shi gles Sewers �_Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> ' Drivewa -Not over Counter If on,public roadways..needs ROW ' - <br /> .,. _, . ,....F�ri . ._. w...., ,...x.. -..b ... ' <br /> ' -- <br />