|
i
<br /> s�saao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
<br /> I' + .: Building Department
<br /> � � r
<br /> ��'_�
<br /> Date Received � _ / po�
<br /> 1. % r_f- -•--�--•—•-- phq�e Contact for Permitting � ��
<br /> �� � r g'- g.
<br /> Owner's Name Owner Phone Number
<br /> �' '� / �
<br /> Owner's dras � � /' l� Owner Phone Number
<br /> Fee Sim e itleh,der Name Owner Phone Number
<br /> ��
<br /> Fee Simple 'tlehdl�er Ac`dress
<br /> i ` � / / f
<br /> JOB ADDRESS LOT# cZ��
<br /> `
<br /> ' - D� ( � ��
<br /> SUBDIVISION; PARCEL ID#
<br /> i� (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e .. NEW CONSTR 8 ADD/AlT 0 SIGN Q Q DEMOLISH
<br /> � INSTALL REPAIR
<br /> PROP,OSED U�SE Q SFR Q COMM 0 OTHER
<br /> TYPE�:OF CONSTRUCTION Q BLOCK •• Q FRAME 0 STEEL
<br /> ;� I
<br /> DESCRIPTIO�� OF WORK V G
<br /> BUILDING SIZE SQ FOOTAGE a'� ()D � • HEIGHT •
<br /> - ii.
<br /> BUILDING $ �" CI� ��� ���—
<br /> �. � DO O. VALUATION'OF TOTAL CONSTRUCTION P�N E�EpHYRHrLLS�
<br /> QELECTRICAL $ AMP S�y�Rk.SHqL Q PROGRESS ENERGY M�R�:E.C.
<br /> LC
<br /> F�ORIDq gU LO dES Mp�Y wrTh
<br /> OPL�MBING $ NATIONq ING C - - - _.
<br /> CITyOFZEP ECTRIC�DE.
<br /> QME��HANICAL $ VALUATION OF MECHAfYI�;4�6l�� ION
<br /> ���� �� q � I. �
<br /> � I �
<br /> Q.GAp � ROOFING Q SPECIALTY 0 OTHER � -`
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
<br /> I
<br /> BUILDER � COMPANY
<br /> SIGNATURE I� REGISTERED Y/ N FEE CURRE� Y%N
<br /> Address License#
<br /> ELEC,TRICIAPI COMPANY
<br /> SIGNATURE� REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address? License# �
<br /> ,
<br /> ..., ..
<br /> P.LUMBER;, I COMPANY
<br /> SIGNATURE� REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address' License#
<br /> _ �
<br /> fNECHANICAL' � COMPANY
<br /> SIGNATURE'�' ' REGISTERED , Y/ N FEE CURRE� Y/N
<br /> Address'�~ � ' License#
<br /> ��,;,;,. , ��li ., . , .
<br /> 07HER�, �-h � � � 4 COMPANY �
<br /> �-SIGNATURE�4=;'s . REGISTERED Y/N FEE CURREK Y/N
<br /> ;�
<br /> rii.";^;1;!i - - .
<br /> Address:•. �, . l` � l ' License#
<br /> �:t�iiiii+ftiit .
<br /> ;'RESIDENTIAL=*;n .Attac6?;(2)-:Plof P.lans;�i(2)�'sefs�of�Building�Plan§;(1�)°set ofEnergyForms;R=,O=W Permit,for new.construction,
<br /> �. �":,;z f,.�'i•;_:'.'Minimum,,ten�(,90);workingiiiays'afte�sutimittal;date. "Required`onsite;Con`struction Plans,Stormwater Plans w/Sllt Fence installed,
<br /> . Sanita,ry,;Facilities;&;1;dumpster;°Site;Wor.kPermitfor..subdivis'ionsflargeprojects "
<br /> ;�.COMMERCI�L Athach`�(2)cornplete sets of'Buildirig Plans plus a Life Safety Page;(1)sefiof Energy Forms.R-O-W Permit for new construction.
<br /> ; � - I Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> ��'•' Sanitary Facilitfes&1 dumpster..Site Work Permit"fo�all new p�ojects.All commercial requirements must meet compliance
<br /> �,_� _...,.
<br /> �::SIGN:PERMIT AttacFi"(2f sets qf;Engineered•Plans:•
<br /> �:^•: �i ��RRPROPERTY SURVEY.required for,.aII.NEW construction. � �
<br /> � ,._... �
<br /> ��:Directions: " , _ - - _ -
<br /> ` ` Fill-:out application completely.
<br /> �Owne�&'Contra�torsign back of application,notarized
<br /> If over$2500,a Notice.of Commencement is required. (A!C upgrades over$7500)
<br /> '"- Agent(ftir'th`e�corifrabtor)or'Power°ofAttomey(fortFie ovmer)would tie someone with notarized letter from owner authorizing same
<br /> {'�OVER'�i'HE COUNTER';PE.RMITT.ING. (copy.of contract•.required) -` '" '
<br /> Re�oofs if sFiingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> ..j �.......... .. ..._ .. ._ .. .o.. .-.;'.t�fJ2I::)N.:.�:•z.=t"1r�a.i�Y.ei...-e-
<br /> Driveways-Not over Counter if on public roadwa s.ne��13 RQ ; ,-�� ; � '
<br /> �:�. ,n.�..::. � � .. ..�....�;.f ;'�,F�.,��=!. . .=�: �
<br /> w:c+iRx�,•7[.r.srwsr.�. •r }'1�i% i .. �1'��' �.
<br /> I .iracx.r•r�c�.r ,.���� 'b . . . � . '•Y,•..i .
<br /> >: "' '::1'�i���.�_�i.�'�:.: '�L�S�•. n �: �.�i.: :i.:il'3�t�':3�.:i`F1G.!• t.s. .
<br /> ; ;y, _ .:�,
<br /> _"A � .,. _ '•�, c� t' •`;l"�j;�•���i"i3Y����2°.-• _ �,-�
<br /> I ?' �a�;'Sn�).. `•(iC`��''c'-t�..,�.,.i,� �:_j .. , . . -..o.'`.: ':'•":. ,�".t.; •'�:::. .
<br /> r-3`: .r•i,�: :y :t ^o-b .,.. :: -:Str.c.
<br /> �`�{��!����s�fJr�S,✓:, °.ti�i.._ � 'i� . � .
<br /> •�. l..i. . �F:�w,n:. e� >•er,.�.:<o...
<br /> :i"^;�; ��• � � r ,•�s....:<�.,vv�w..��a.n,„:r�
<br /> � :1;":m"�I.i � .. �...• ...... .
<br /> f� , ,..,,,._ ' „�_y,,,�•e.-.�a�+'.+'
<br /> �J _� ,�.. . .��..ri < � ��- � `
<br />
|