|
813• eo-ooxo City af Zephyrhills Permit Application Fax 813-780-Q021
<br /> Building Department
<br /> Date Recelved � . � phons�ConNact for Pe�tritftin —
<br /> �Owner's Naml /`K'G+ � �L/J� L L C..', own�r Phone Kumber ���' ��"""��/�
<br /> Owner's Add�ess �J��� G-G�IL �'l lC7� `Owner Phbne Number �� .�
<br /> Fee Slmple 71tleHoldar'Name � � Owner Phane Number � �
<br /> :;,.
<br /> Fee Simple T tleholder Address - °
<br /> JOB A�DRESS �Q� ��uf'�/ 1/A'L LC. /fJ , LOT# C�
<br /> I �Ic9' ��v�t� �f��iS PJ4RCEi.ID# �c�� c�� c�j O�I�
<br /> suso�visia ' ,� ,,J , � (�l3/l�0 Dl��?
<br /> , � (08TAINED F.R4M PROPERTY TAX NOTICE)
<br /> W4RK FROPQSED :,:NEW COPJ57R i ADDlAi.T �-,• SIGN` �Q C] DEMOI:ISN
<br /> �e, INSTALI. � REPAIR
<br /> PRORt�SED-USE � Q 3�R Q `CQMM C� �OTHER '
<br /> TYPE OF CQ STRUCTION - Q� r' BLOCK " [� FRAME � .� 'STEEL Q
<br /> DESCRIPTid OF WORK � ��ss � � ���'f"t�'i'� "'C3L�-� �� �d/� �L l Cp7�'� /1!�'R1
<br /> �UFLDING SIZE �� �� SQ FOQ1"AGE ` . , HEIGHT�-.
<br /> � VAIUATIflN�'tOF TOTAL-CONSTRUCTION �
<br /> BUt,�.DING
<br /> 1 � „-,,, � _
<br /> QE��CTRICAI $ ' � AMP SERVIGE Q �PRt)GREBS ENEI2GY Q. W.R.E.C,
<br /> OPLt3MBINC3 .�� � _ .
<br /> OMECHANtCAL $ . VAl.UATIQN OFaMECHANIGRL tIVSTALLATt{?N
<br /> �1�,�.�� .
<br /> QGAi Q ROOFIi�iG CJ SPECIAI.Tl �� OTHER
<br /> FINISHED FLOOR ELEVATIONS ^ FLOOD'�ONE AREA QYEa� NO
<br /> BUII.DER COMPANY� .
<br /> SIGNATURE REGISTERED Y/ fV FEE CURRE� Y/N"
<br /> Address s � Llcense# � �
<br /> E�ECi'RIGIAA6�!! t . CCIMPANY -
<br /> SIGNATURE '� REGISTERED Y/ N FEE'CURRE�` 'Y/N
<br /> , � . y
<br /> Addr�ss � . � , License•# �. ��
<br /> PLtlMBEEt " ' . COt49PANY ,
<br /> SIGNATURE' ,REGISTERED Y./.N FEE CURREP X/N. �
<br /> Addreas . . License.# (� � �
<br /> MECHAN1GAt: o . ',a,� `' • C{.1MPAt+IY 1�1R� f' f,� `�" L% ...=,lv G�
<br /> SIGNA'fURE� � �I���<��?�rLPJ�„„!" REGI$7ERED Y,/ �V .,' FEE CURREA Y/•N
<br /> <i -
<br /> �� � ,l T ql/
<br /> Addres`' +e ��.CX` `�'r1ILI� � License# ��-���.! '"x"� �
<br /> ( .. � ,
<br /> 07NER - -. ` ' ';GOM�PANY
<br /> SIGNATURE� '=• • `� � �� - � � " REGISTERED Y/ N:..- FEE CURRE�•- ' Y/N
<br /> Add�� ,- . .. ,. ... ,;w . � - �� . � � L'icense# �� � � -
<br /> RES1QEPtTiA',:= -_A#ta�ct�'(2}�Plot%Pians;:(2}sets�.of'Butliling�Plan's;�(.1}setaf<Energy�Foiins;R=Q�W�Perrriltfiornewi;onstrucUon, ��,� , .
<br /> � ��•Mintmum�ten�(10);working;days�fter`subr'iilitalilate.:_��Requlretl on'sife,:Constructlon�Plens;�Stoimwater'Ptans wl SIIt�Fence installed,
<br /> F Sanitary EacillNes,-&_1�;dumpsteruSite°WoricwPermit for subdiyisions/large,p[ojecfs ;_:. ;: ,_' '� ` '
<br /> COMMERCIAt. Attach{3}coiiiplete sets�of B'ulEdliig Plans plas a��.ife Safety Rage;�{1)set af Energy Farms.R C?-W Penntt for newi constructian. �
<br /> Minimum ten(10)working days after submlthal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence fnstalled,
<br /> Sanitary FaciliUes&1 dumpster.Site Wqrk Permit for all neuv:proJecfs:All commerclal requl�ements.must meet complla�ce '
<br /> SIGN PERMI� Attach{2}sets of-Eng,i'neer.ed,PJans.; .. •;°.^ , •.. .....
<br /> "*'PROPERIY SURVEY r . uirQc!for all_NEW constructlon..
<br /> --- _�
<br /> Dlieatlon�: ,.., ... , _
<br /> FIII out applicatlon completely.
<br /> Owaer 8�Contractor.stgn back af appltcatlon,notadzed �
<br /> tE avar$ 00,a Notice of Commencament 1a required. {AtC apgrades over 57500)
<br /> .,.:.;,,.: ;
<br /> '" Agent(f r the aontraictor)or Powe�of74ttomey(fbr tFie owner)�would be someone with notarized letter from owner authorizing same
<br /> DVERTHECi�UNTERPERMt'i'CtFtG•.- __.{Fron of•Ap ice�tto �{3 1 }._ . - � �������r��`�'
<br /> Reroofsifshi�gles � r , gr , ,,.., ces(PIoUSurvey/Footag � '�±e,%�r' ," �i��Y2 ."'� -'-."'"= �" .'
<br /> ; .,a.H
<br /> ,,L•4 ��_i'�:`i�. . c;,t, �.��',•,v�T� 6{N1U='Yi?�,°�:G- :1i�;'�tro :tfr:1:'.:^• 'f.� �
<br /> n��f?l � Sf S� e?�t 3 t :;:'�.,; +, '`y C r fYt:;.�..1 ''�I 't,.
<br /> Drivaws�ya-iUot ove�Cbulnfer�fi q�iypubl��i�aadu�r�y�'s..nee�1s+R�0a11 �T°u.,,o-� ;us.�::�iiic"�3,. - ,t�' �
<br /> "�i US.�'� hfw..�1'{Irj; !pilFit9;J't?iX 'a ft���? 3 " r e� :;'; b �r er�' \.
<br /> Ld q ala, � {•:.����{] i;C: 4.,
<br /> 'Q fl�i�`�f;���•"+ c4 q4�2f;7#:lii�!a "�';;�T2'�.r�:;+ f �
<br /> a�J;:t�i�.�1 � h'�::,4:I�t��i��7�� , �`���
<br /> .:i{;2>�1 y to�?i`+��sflL�S.'f<a�lj:�Slbl� itii�nt7U g ��tr•rs4i+'is,M �,���,�*t;,x;�*'yi;rs-�n<.... :� �:7T.�'�yyc"�
<br /> a�S .
<br /> �
<br />
|