|
a�s-iso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
<br /> -- Building Department
<br /> Date Received �.Phone Contact for Permitting - —
<br /> Owner's iVaml ��/�� //-�',�Sd� Owrner Phone Number
<br /> Owner's Address L� �� /�L�G/UI��G'7�'� D'`L' Owner Phone Number
<br /> Fee Simple Titleholder Mame � Owner Phone Number
<br /> Fee Sim le Y�tleholder Address
<br /> P
<br /> JOB ADDRE S ���� /"�����'��r�� ��� LOT# �
<br /> sug�ivisio S�LU�L D r�- ,r PARCEL ID# 0 3 -���,`�p ,�� ,_�0��6�9- l��'
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED B ,. NEW CONSTR B ADD7ALT � SIGN Q � Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSEDIdSE Q SFR Q COMM � OTHER
<br /> TYPE'OF CONS7RUCTION Q� BLOCK •• Q FRAME 0 STEEL Q
<br /> DESCRIPTIO OF WORK
<br /> �v�0� 9�liS� wi7 i �i✓ i 9���}-Li S�l-�i,J�GC—�'.
<br /> BUILDING SI�E SQ FOOTAGE� HEIGHT •
<br /> Q�UILDING VALUATION'OF TOTAL COiVSTRUCTION
<br /> �.�oo-
<br /> QEL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> , .
<br /> QPL�MBING $ \' `'��
<br /> � \X
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> OGAS ROOFING Q SPECIALTY 0 OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
<br /> BUILDER COfiAPANY
<br /> SIGtdATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addres License#
<br /> ELECTRIC( COflfl PANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
<br /> E4ddres License# ��
<br /> :.F.,;..„
<br /> PLUAflBER.,; , COMP�lY
<br /> SIGNATUR� REGISTERED Y/ N. FEE CURRE� Y/N
<br /> Ad'dre License#
<br /> M ECHAPIIC� COWI PANY
<br /> - SIGNATURE' ' REGISTERED Y/ N FEE CURRE� . Y/N '
<br /> Add'res �� ' ' " ' License.#
<br /> .;rs:.__ � .... _ /J
<br /> . OTHER:i :,'. . - /� ' _ COMPAfdY (/�l�t!�///rJ ���•�//�� -
<br /> •.`,SIGNA7'URE : := - ��_�s REGISTERED Y/ N. FEE CURREK Y_/N
<br /> � x,y.t��-::... . r`
<br /> �Addres - �;��1L� ��, �b`r�� Ln-1�/ • ` Licerise# �� Z �4-
<br /> �.;RESIDENTI�_�:. Attacfi:'(2).Plot P>lans;(2):sefsof Building-'Plans;(1•)`set'ofEnergy'For`ms;.ft=.0-V11.Permit,for new.construction,
<br /> - � ;,;;�,•:„- ;Minimum'-:ten;.(,TO)wo,rking;days'afte��subinittal:tJate.:Required�onsite;:Constriiction Plans;Stoimvirater.Plans w/Silt Fence installed,
<br /> _ - �= Sanitary;Eacilities,&,:;1�.dumpste.r•,Site:W.o[k:Permit.for:subdiJisions/large;projects ` -.� -
<br /> �`::COMMERCII�L �Attach(2)complete sets of Buildirig,Flans�plus a L'ife Safety Page;:(1)set of Energy Fortns.R-O-W,Permit.for new construction.
<br /> = ." � ' Minimum ten_(10)wo[king�days afte�submittal:date. Required onsite,Construction,Rlans:3tormv✓ater Plans w/Silt Fence installed, ,
<br /> - Sanita`ry Facilities&'1:dumpster.Site Work.Permit fo"r�all new p'rojects.All commercial requi�ements must ineet compliance "
<br /> ��� SIGPJ PERMIT AttaoFi(2f sets o,f:,Engineered�Plans: ' � ' . � � �
<br /> ,:' , : � � � ""PROPERTY SURVEY�equi�ed for aII.NEVV_construction. , ,
<br /> - •Dire`ctions:: I, '. . , �•;;•; „ . -
<br /> " Fill"out appiicatfon.completely. , �
<br /> O,wne�'8�Contractor sign.baok of application;notarized. �
<br /> If over 9�2500,a Notice,of Commencement i�required. (A/C u�pgrades�over$7500) ,
<br /> __" Agent(f i rttie co'nt�actor)�orPower.ofRttomey(for the owner)would tie someone with notarized letter from owner authorizing same �
<br /> � OVER.THE GOUNTER P;ERMITTING (copy of•contract required)
<br /> �-- -
<br /> "�Reroofs if shi gles � Sewers Service.Upgrades A/C Fences(Plot/Survey/Fodtage)
<br /> yJ B �'+Y-rr�.. '.ti1:h���r..F.'iiv �.� " '�'•.' .�.•� '.l+:!'.Ilif�I.:Hrv'..�r:.�_ ...4:n..v.�_
<br /> D�iveways-Not over�Countet�i�.on public:�oadways..needs.:ROW,..;��:�., � � ,,_ ���� ` ;"�'� '� '' `��-
<br /> . , , � r.,:. ...,:,.,�,,.. ��,ri„. �.�; , y 1i.;� _. .. . .��,, ., •..
<br /> - i.A:..��'.,..:�•',tiUi2'-tifi�it(. �� `S �r.p .- ,. , �, .� .
<br /> � - �- : �:R ` ��'.i �l'.'_ .. ...
<br /> ' , �.�1^i� \ ..','i,��'�'�i:Ji�! _�: .f'� t' �?(,'^ • .� .' ,.l' � _, • `
<br /> .. ' j "G�.e,•Ctidf .�... ._ ,. �.ui ,...•=y ��e> •• °r °i.ii0:•.'i:::;.�;. �..-, , �.�,... , .� ,.i ' _
<br /> � ...,... �v.r..-.�...-. ...-<... .. . . r- . . . ?:r.,•-u,e+s'�s.e...._..n - - iY �
<br /> -m�� I "'" '._ ____.
<br />
|