Laserfiche WebLink
.l' <br /> � e�saao-oo2o City of Zephyrhills Permit Application Fa�c-813-78p•oo2� <br /> �� Bu{Iding DeFtartment � <br /> Date Ftec�rlvad p� �_�t ' � <br /> y ' G'"L � _,:=Phone Coatactafor P�irmittln :.: . $t�3 2.�g _ 3?J� � <br /> Owaer'sNa�a ���e«k toaGs��r� , Owner.PboneNumber 813T Z�}p^:3'?i� , <br /> Ow�er'sAddress SpY.� /!�N ,S�iC�T'� '- � CiwnerPhone•Number (�'t3� �&'Z�- 7OYS � <br /> I , (� . <br /> Fee Simpte TlBehalder Name �� � ' � Own�r Phone Namber l <br /> =,'7�-- .. •,. _ _ , :� <br /> Fee5tmple�TltiehalderAsldress - d " <br /> J09 ADDRESS �'�Y3 /q ;r� sT�tEET' ZEP�YR.N,tttiS FL� 33Sy Z. �or# c.—�—� <br /> . ,. _ .. �- <br /> �. , ,,, <br /> SUBDIVISI N � ,` •`-' ' I PARCEL_ID# ' . <br /> � ,„ � • , ' '(OBTAINED FROM PROPERTY T/UCNOTICE} ° <br /> WORK PRt3pOSED ; :, " ^- NEw CONSTR '� � ADD/AI:T =� S1GN [� [� DEMOL(SH <br /> � IIVSTALL 8= REPAIR . <br /> PEtOAOSEp:USE. � SFR ' � � ,COMM'_ � flTFiEFt' <br /> TYPE OF C�ONSTRWCTION.; ', `BLOCIC�'_ Q FRAME �_� 8TEEL ,Q.. � <br /> DESCRIP710EN OF WORK .}- pS�yE C��W��►0 Peo4. iNs�re.��T�o,o' � _ <br /> � � . . .; J�'r' •. , ' y ,, <br /> BU�LDIFIG'SIZE.,=' 2� RauN�A " � gQtF..00TAGE•��� ; HEIG,HT� . SZ ��+cWrtS . ., . , , <br /> 1� = <br /> -... �lLDiiVt3 �. „_.„�������� ... _.�.•�T - , ' � � - <br /> ,�;�n:- .._.,_:,��.,-..... <br /> � ,3jo$,�, . 1.$— VALUATION O�OTAL'CQNSTRUCTION , <br /> QE�ECTRtCAL $ -AMP SERVICE - ' PROGFtESS ENEf2GY W.R.E.C. <br /> GI - o �s� o <br /> QPl:tlMBlNG $ � <br /> � � . '�t ° 1�,,�. <br /> [�MEGHAi+lICAC $ VA�lJA1'ION;OF,MEGFiANlCA�.INSTALLATlON ti:✓ �j�� <br /> �' U yr�2� <br /> Qc�s , ,�,.�] - RooFac��,tVp - s�ECEAt.�r=�(� o�rH�+� � � � <br /> FINISHED F1.00R ELEVATIONS FLOOD ZONE AREA YES. NO /'�Q t'���Cr�Y���� <br /> -, . 0; � � <br /> � E. <br /> � . � a+++E c�w <br /> Bu��p�� o nf�e,�l� �.o�a�srx�� tJ o��Ar�,r � , , 4• <br /> SIGNATURE � REf31STERED Y/ N.. FEE CURREA°. , .Y/.N � � <br /> �dfA�S 'Yi . • ,- • <br /> �� . . . L:�Ce�3@#�� , <br /> �,, <br /> ELECTRIC,UiN::-.,. ., „ COGIAPANY ` <br /> S�GN/iTURE �' REGISTERED Y/ N �CURRen ' `Y 1 N - <br /> �4ddre�a . ' �, . , � � Llcense'#��� - � <br /> PLUMBER� : . . COMPANY; ` r ' . <br /> SIGNATUR� sREGISTERED Y/�.N. , �e:cuw�e��i :�Y/N: :.• ' <br /> Addre� , Wrsnse# - _ <br /> MECHANIC'AL`. � - . � :_ - ;.CqMPANY ..;, - ,�;. . �:� - <br /> SIGNATURE ' , i' � "� <br /> a , RE�ISTERED.,, ,,. Y;/'N�,_�. ;.�e_CuwtEn� �=Y/wN�-�� <br /> �ddre�s: . . { .>. .. .' ,.t _ � - z : .. : .,l,icense# �. ,t.:� , :.... . -��• 1 � <br /> OTHER i. , . , . �� � . � .�. ;,., . _ . C�°'P� � . _. . • , _ <br /> SI(3NATUR�. .. . : ; , . „ .. , , _ _ � :f.: � :.�:. ;�:.,• ,. <br /> .,iiEG�sfi�REo � -Y/. N-:. . ,_:��Cuw3En ;.YJ.N:=.:. <br /> AfldP AS �:'='";t.- � . ., _., ._., �� <br /> 6 ' , .. , . . LICR�89#�� . . ' <br /> I <br /> � , :.,. , _ �._ {.{;.y,. �.. ;,��,;� ��•;t�=,�., , , .. -a , <br /> ,„ ..;L.,. � ;•� iy •.a� • .:�_ � �. :..J� . ;.r �r ��"3.L< <br /> .RESIt}ENi'fAl�..-.-<Attact�•,{2),Plok°Plans;�(2);sets�af>Suijdirtg-Plans;:(1};set"ofiEiietgy°Fo"'miiS;'R=0=1lN'.Perriit#:fcrnev;r:canshuctton,:. - <br /> M,. <br /> _„ '.t;;;Mlnimum,�tem(1rQ�)�worltin.g;days�after,;�sutirtiitFaliilafe:��Requlted anslte;-Cons'truc8on?P,Ians;;Stoimwater Flans'w/Sllt Fenqe,tnstalled, • , <br /> _' l _.. 'Sanifary�ac�lttles&n1�clur�►pste_r,yS{te�i(Uoric�Perrriit�oc".siititllr"rl'stonslfa�ge'pcojeats��,:=��ti:},�A�;,�"n:°°�'' �' _-._ � ; ��.. , .. <br /> COMNlERClAL Attach(3j'oomptete`"sets of Bu`itilitig Plans ptus a'L`lfe Safety Page;(1}set of Energy Forms.ft•f3-W Permit for new conatructlon. <br /> - Mt�imum ten(10)waricing dayg eftar submlttsl date. Requlred onsite,�t�onsUucUon Plans,Stormwater Plans w/Silt Fence instelled, . . <br /> Sanitary Fadtt�es_�1,dumpster.SIte.Work.Fermtt for ali.nerv;proJBcts:-Ap commerciat requlrements must�meef�compliance <br /> SiGN PERMIT A#acti(2)seLg of`�ngi"r�"eei,ed'r,Plat�s:�:;,�:~s=`-•P; .. . � ,. . < . _ _ , <br /> 'i •"""PROPER7'1I_SURVEY requirec!forTall;NEW�cons.tniction..._., -__ ' . � - <br /> DtrecNon�:,� ���.;:�^. �- . .;,: . ... __ ._ _. _ _ - • <br /> Flil out applicadan completely. <br /> Owner,�Contraotor sign bac�c of appllcatton,notac�ed <br /> If.over'$2500,�►Notice of Commancement is required. (AIC upgrades over t7500)__ _ � � . '_ . _ <br /> � ,,:�,�...�:(t.^.a:�s:.;;: . ' <br /> '• Agent(far ttie ciinti�actorj`or=Ro`we�"of-Attoiney'(fo��#tie oiwrnec).wauld be someone with notarizec!tetter from owmer autho�izing same� ;,�,; <br /> ;D..V:ER7HE:eCOUNTER�PERM1TTiNt3�= _ :{Front;af-ApPllcation Only)•_..� � �^. Y�:Y , ' � � . <br /> Reroofs If s�ingles . Sewers S�rvice Upgrades�A/C_'•, Fences(PIoUSunrey/Footage) ., ' _~ ..` ' ;^' - . , - <br /> .. N� _ -. . ,_.,..,-- '.":r'�-,`'.-:-. <br /> Driveways-Not aver Counter if on publia roadways::need§;R01N:..,. ry�. •� - <br /> I� .� x :... ... <br /> � <br /> � <br />