|
I Fax-813-780-0021
<br /> 813'780-0020 City of Zephyrhills Permit Appiication
<br /> I Building Department
<br /> Date Receive�d ] �] Phone Cootact for Permitting �� r�� -- ��� _
<br /> I � �. 1— I �
<br /> I� ��( �D Owner Phone Plumber V - /� � �?��
<br /> Oweeee•s;Name
<br /> .,.. ;,�,�::. .
<br /> ,�' ' `' 3' J 3g, l.(j���-1nQ t"1�/� ►1 �hl r�5 3 �'OwnerPhone Number
<br /> O,wner's�Ad ress.;. ,
<br /> Fee Sim le�itleholder Name Owner Phone•Number
<br /> P � , � .
<br /> •Fee Simple itleholder•Address �
<br /> .lOB;ADDR. S5'�, . ' S 3 l� l,�����C'(. 1/'�. � �hif I 'S �l 3 3 5�r I �oT# u�--�
<br /> ,:.�, ::: �, � :
<br /> SUBDIVISION rQl�� �D��� �►�5 Q S-z ( tPAE3CEL:�ID#. ��-��-a �"d��d -��� r 3 y�
<br /> , • . , ' �(OBTAINED FROM PROPERTY TAX NOTICE)
<br /> W.ORK;PRO OSED�, e NEW CONSTR ADD/ALT C✓J� SIGN Q MOVE Q DEMOLISH
<br /> '` ' � ` �` ` � INSTALL 0 REPAIR J
<br /> PROPOSEq USE . , Q SFR �] COMM Q OTHER � �
<br /> TYPE OF CIONSTRUCTION Q , BLOCK � � FRAME Q STEEL Q OTHER
<br /> � � � �� � f�e�1� e� re-�oof' �5 c�eS �AFT��n�J���-� �f 5��� 1�S
<br /> DESCRIP.TION,O�aWORK•
<br /> .� :.•� �:-.�h'i...•:.•2•.i:..' .. .i�
<br /> BUILDING SIZE; ,SQ;FOOTAGE � I I I HEIGHT
<br /> . .,
<br /> Q� B ILDING , $'";;_, �:;�::��i`��?;��^;,.;;'`'•,° �.VFli:UATIQN`:OF=1'OTAL,CONSTRUCTIOM • .
<br /> �'' 4� - :�.,
<br /> Q E ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> � P UMBING $ � I
<br /> Q ECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION ��� I
<br /> Q �AS Q ROOFING � SPECIALTY Q OTHER
<br /> � •
<br /> FINISHED IFLOOR ELEVATIONS FLOOD ZONE AREA QYES ONO
<br /> . �
<br /> 8U16.DEP� ' COMPAMY
<br /> SIGNATU REGISTERED Y/ N , FEE CURRENT Y/N�
<br /> Addr�ss ' License#
<br /> ELECTRIC�AN . ' , . • ' COMPAfdY - •�
<br /> SIGNATU E REGISTERED Y/ N �FEE CURRENT �Y/N
<br /> Addr�ss � � ' License#
<br /> PLUMBER C0119PANY
<br /> SIGMA'I�U E ' REGISTERED Y/ N FEE CURRENT Y/N
<br /> Addr ss License#
<br /> !I • • ' .
<br /> AAECFIANICAL COMPANY •
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Addro�ss . ' License# �
<br /> OTNER;.�i._�. J'IG�l.�(,UCJO(�\ ;COMP..ANY. �Q� OO n -�I-rnCC ' '
<br /> SlGNA'�URE;� � � " ,REGISTER�D N FEE CURR T /N •
<br /> Address � �� SI\ �!�1 � �h� ��S �J 3 S� I �`License# ��—I�ZS��
<br /> �{;;
<br /> • I,
<br /> RE5IDEN I iAL � • Attach;(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
<br /> _- - _ � _ -;�Minimum ten.(10)working days:after submittal date.' Requireii onsite,�Gonstruction'Plans,.Stoimwater Plans.w/Silt Fence installed;
<br /> Sanitary Facilitles•&'1 dumpster;,Sife V11ark Permlt for subdivisions/large projects
<br /> COMMERCIAL Attach�(3)sets ofBuilding Plans;(1)set of Ene�gy Farms.R-O-W..Permit for new construction:--= --
<br /> Minimum ten(10)�working days after submittal date. Required onsite,Constiuctlon Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary FaciAties&1"dumpster.Sfte Work Permit for_all.new p�ojects.All commercial�requirements must meet compliance�' �
<br /> SIGW PEiMIT Attach(2).sets of Engfneered Plans.� =-:-"f . •
<br /> `"*'PROPERTY SUR�Y�requirecl for all NEW construction.
<br /> Disectlon�:`= -• ,-� , ,� � ._ - • - . � . --
<br /> �� Fill out application completely. ' � � . �
<br /> Owner&Contractor sign back,of application,nofarized ' " � � , •
<br /> ' If ov�er$2500,,a Notice of Commencement is requlred. (A/C upgrades over$5000) !, ' � -'? � _�
<br /> *" ,,�Ager�t(for,the.contractor).or Power of Attorney(for the owner)would be someone with.notarized letter fcom owner authorizing same �
<br /> 'OVER TH�COUNTER PERMI7'TING (Front of Application Only)
<br /> Reroofs Sewers Service Upgrad�s A/C Fences(Plot/Survey/Footage)
<br /> Driv Iways-Not over Counter if an public roadways..needs ROW
<br /> __ l � .
<br /> �
<br />
|