|
_ I
<br /> I
<br /> a�3-isaoozo City of Zephyrhills Permi4 Application Fax 813-780-0021 '
<br /> � � � . Buflding Department
<br /> Date Recelved �� 2 "� phone�Contact•for�Pernilttin �
<br /> : ,
<br /> Owner'a Name (1' i � r -� Owner Phone Number �I 3 "� t���?J �� �►�1.
<br /> Owner's Address S� ���h S�". Z�P h (h i 11S .�S�I a- Owner Phone Numb �� )J� �1 ��� 1 �'�-r(
<br /> �' � -- ;�_j �.',,��'�
<br /> Fee Simple Tltlefiolder Name Owner Phone Number �i ���O"
<br /> ; !, - " � �
<br /> Fee Stmple Ti4leholder Address � .
<br /> JOB ADDRES � � m
<br /> � � LOT# � i
<br /> SUBDIVISION PARCEL ID# l� a�v a I d D t � ���-� o O l `{c7 ,
<br /> I , - ,, (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED • NEW CONSTR ADD/ALT Q SIGN� Q �Q DEMOLISH
<br /> s e INSTALL B/ REPAIR � ,
<br /> PROPOSED�USE Q , SFR Q COMM Q -OTHER
<br /> TYPE OF CONSTRUCTION Q� �' BLOCK " Q FRAME � � ,STEEI Q�
<br /> ^�` . +� \ G��a �--e Z '
<br /> ESCRIPTION OF WORK
<br /> � J l f / - /
<br /> BUILDING SIZf_____.I__�_____. 3�1 SQ POOTAGE �� a' . .,HEIGHT � l I
<br /> i . . `.
<br /> (OBU11 DING $ � ��� �O VALUATION�OF'TOTAL'CONSTRUCTION , ♦ � ,
<br /> QELECTRICAL - $ N� � ; AMP SERVICE Q -PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ N - '
<br /> i I�
<br /> QME�GHANICAL $ � � VACUATIQN OF'MECHANICA�INSTALLATION, � � ���
<br /> � l
<br /> OGAS Q ROOFING .Q SPECIALTY � OTHER�
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> i ,
<br /> �u��.���- �; ` �Q - �.� •Qcr,�r�a��(` ---f-7 a�,-, - p�„� --��- - - -- -- - � - - -
<br /> SIGNATURE �✓1 G �� � � REGISTERED Y/ N FEE CURREA ' Y/N .
<br /> Address� Llcense#
<br /> ELECTRICI�41�. . `�COMPANY �'
<br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� �Y/N
<br /> Addresai • � , License# _ •
<br /> I . .
<br /> PLUMBER i COMP;ANY .�; : � '
<br /> SIGNATURE`� � , : ,REGIST,ERED Y/,-N.. - ` ,FEE CURRE� Y/N. •�
<br /> Address , License,# �
<br /> MECHANICAL ' ' ' � ., ' ' C.OMPANY, .
<br /> SIGNATURE � � ' � , REGISTERED Y./ N FEE CURRE� Y/�N �
<br /> Addres��:� - � • . . . , , _ , , ., . i
<br /> _ . License# ,
<br /> OTHER � ' -- ' ` � " �;COM PANY �
<br /> SIGNATURE � •- ^ "" - � ' �� � ' ` 'REGISTERED
<br /> ' Y/ N�_ FEE CURRE� Y/N
<br /> � , . . _. `
<br /> Address, �, ,,.,° � "� ; �; ,7'- . ,. . :Li'cense# ' �
<br /> RESIDENTIAL f: .�Atfacfi`(2),Plot�P..laris;:(2)sefs•of�Building'Flans;'(1)sef of'Energy>Fo'rms;`R=O=W�Perrrilt for new construcUon,
<br /> - :,�Minimum;ten�(4.0)workfng;days after:submiftal`date:;R'equlreiJ onsite,:ConstruoBon�Plans;Stormwater`Plans w/SIIt Fence�installed,
<br /> � �Sanitery Facflttles:�c�lr,dumpste_r,;SIt��Work,Permit forsubdivisions/large_prcjects., , `:,:. ' •' ` ' -
<br /> COMMERCb4L Attach(3)�compl'ete sets'of Building Plans�plus a�Ltfe S�afety Page;(1)set of Energy Fortns.R-O-W Pertntt for new construction.
<br /> Minimum ten(10)worktng days after submittal data. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed,
<br /> , Sanitary Facflides&1 dumpster.Site Work Permit for all new:projects.All commercial requlrements..must meet compllance
<br /> SIGN PERMIY ALtacFi"(2)sets of"Engineered;Plans:, :,:c^�- , �.; ,.._�. � .
<br /> '! ""PROPERTY SURVEY required for_all.NEW construction.
<br /> Directions: , ., ;- �.,�.. , �
<br /> Fill out applicaUon wmpletely.
<br /> Owner 8�Contractar sign back of applfcaUon,notarized
<br /> If over 53500,a Notice of Commencement i�required. (AIC upgrades over ST500)
<br /> " Agent(for the conVactor)tor'Power of.Attomey:(for the rtowner)would be someone with notarized letter from owner authorizing same
<br /> , .� ... .. .
<br /> :, •- :_ �,.:
<br /> DVERTHECOUNTER.PERMITTING�-- --:�(Frontof�Application,Only);� ,;; � � ="-'�-`'=-"'°•_-�-"•��--�-•- °-�-•-����--_ _>_-�
<br /> Reroofs if shingles Sewers ;Service�Upgrades NC�,; Fences(PlodSurvey/Footage) - • ' ' � � . , ';
<br /> . ..�__ _. '__. ._ , ,;. . - • , . ,
<br /> Drivewaya-Not over Counter if on.public roadways:.neeil`s'ROW-�;� � • ' � ' �'�`'•��� ��'�' • �
<br /> I .�-.n,... ,n..�... . <.�.,.. .. r<.. - . 4..<....:. �.J...�-.. I...r ............ ... ....� ..
<br /> I
<br /> 1
<br />
|