|
813-7aaooxo City af Zephyrhills Permit Application Fax 813-780-oa2�
<br /> � _ Bufiding Depattmer�t
<br /> , • .
<br /> Qate itecelved ' .
<br /> � -:`:Rhons�Gonf�ct'far:P�r�mittEn c,� . ,�
<br /> Owngr's Nam� ' Gii�-~ , Owner Phone Nlumber c.�Tf ' � 1z� i
<br /> / �
<br /> Ownar's Add�s� �� h � ' Owner Ph'one.Number � � i
<br /> � � ,. ;
<br /> Fee Slmple TIt9eFioldarName � � Owner Phane Number � � � � �
<br /> � , .. . _ ,
<br /> �-�. �
<br /> Fee Simple Tlt�eholder Address •• �
<br /> � .
<br /> JOB ADDRES� �� /�� � � � LOT# ��_� ,
<br /> i �• �
<br /> suBorvrsio�� � ' � - pa�c��rc� � S - jd i
<br /> • > . _ (qBTA1NED F.ROM.PROPERT1f,TAX NOTICE) �'
<br /> I
<br /> WORK PROP $ED .•�NEw CONSTR ADDIAL•T �,��, SIGN' `[�, - "Q �DEMOLISH j
<br /> ', , ,. , :;e. INSTALL �. {;�REPAIF3 .
<br /> PROPQSED:U$� . Q � SFR. �, °COMM , 'Q 't�TNER': .
<br /> TfPE OF CO BTRUG?ION'w ' r" �,<BLOCK �' ' j !
<br /> Q [� � FRAME ' :.[� STEEL `Q
<br /> i ; . ��.. ,�. .
<br /> QESCRIPYIO OF WORK� : (� � . �.i`j � i% � T,�?,�,,�r2 �L? TE'`
<br /> � , ;... .
<br /> Bt11LDING�SFZE`'�� . ,�:SQ'FOOTAGE C^,�; HEI,GHT.,.�. , �
<br /> - �
<br /> QBUII:DtNG � � VALUATION�'01=�TOfiAL=CONS't`Rt1G'TION.:� - - ' �
<br /> QEIE�TRIGAI: $ h ' AM�SEftVtCE. ';PROCiRESS ENERGY W:R:E,C, '
<br /> 0 �
<br /> � , .
<br /> �R��MBIN{3 • $ " ' � �
<br /> �M��Hi4NIGAL - �,$��/� l/ 'VALUATION O�'�MEGHA�ti1tC�4L 1[�tSTiRLLATl0�1. �� ��� �.
<br /> � � 7 �,�T• � :- -.., , � {b . ,,t .. . . , �
<br /> ; .- "'��/ ;
<br /> �GA� [� RC}OEING :[�; •:- S�?ECIAI.TY;:;�;<<;;OTHER�,� . . C� 2 C V
<br /> FINISHED FLC)OR EI.EVATIONS FLOOD ZQNE AREA �]Y�S. �NO �
<br /> } _ - �{4 ` :.AuE-,g"..r.. ��A'f.r'�_"c,F2..,a.,.,V. .. . ,� , �
<br /> SUFlt}E#2 __ _ - -- - -_— _ __ _�I�bPi4d+dY�`- - `-_-r' - -"==-- -_ - _ _ — __ _ -- - - ------
<br /> $IGNATI3FZE ' REGI87ERED � � Y/ N `'"".-`FEE CURREK=`'} A Y`/`.N' " �
<br /> �a�< <:�� � "��..�."s- �:i'�:' il�r �.- � . ., � �
<br /> � - ';:..,.., , . A... . :c--
<br /> �ddre�� �: , -:,��-. ., r.<Lfcense:#": ;a`°,�,,u,,, ` . � ,
<br /> N�. _
<br /> " ���� _ 1{:, '.y - S -'43�... ..n w .. ` ,r...v-_ � .. -� ' � " ' '
<br /> , �.COMPANYr �;.�-., G. ��.�t�y��r4�<: .,, - .
<br /> E�EC7'RIG}�1i�1� ._ r. .. - 3 ;`. �� - - K .. ,
<br /> SIGPIATURE� � REGISTERED Y/ N F..EE CUI�REP'-� ''� �*^Y/-N� `
<br /> , " . ;i . :�'�i- .. "� . ,. , .';�,tw: , , ` .;� =; • +, `� ,
<br /> ,0.ddres�. � , .. . „ , . , . - License#rs�r ,!;�.,� '"`
<br /> , . . , .. ,_'tt'. . �;y'�.r:1:'� . - i i
<br /> " ,. . " ` ' ^ �,y..':"�.�i4 i:���y .- �, :r�.: ' .� , � .-.. -,. ,
<br /> PLUMBER � - -- . .� . ,GQ14�1�£ANY ' . . ; c.
<br /> SIGNA7URE� � - .. � .. �.�; _ ,<,�..:,..a� �z_s.=; �..- s,� __.,. �
<br /> V REGISTERED �:Y.,./FaN:_; .r;,•,FEE�CUfiREP;� ,�:, Yr/N�� . '
<br /> Addr88s - ^r ._. ;� �� �, '' - . .
<br /> `Licerise.#.,ik=.::•.-. ,._ . .,.:��� ��
<br /> .. ..,,. , � , . �; Pr-:�.:�,.�..; ..... - :_, �
<br /> _ , � � . . .. �:.Y�.� _ , ��� g- :�.R� � �
<br /> MECMAPII � ' •" . CQNIyPANY � ��. t f ,_ �. . ,a_�
<br /> SIGWATURE� ��� -� � ' � REGISTERED ; Y„/ �
<br /> _ s.r _..s.FEE CURQE�.. 1<N:,: ,
<br /> �o - -_ - - � .. _. ,..:. -
<br /> '_ jY` -�. y,, ,
<br /> p �'. ,:�� �/�� �- .. /}
<br /> '''s`:�: -
<br /> Add
<br /> ���`i +�GJ ,
<br /> Ltcense# .t�.._ �.�S'��,,5�� ,
<br /> � m ., . . , - .:. .,. _ . . . ,. _, _ �..�.,.y;� �
<br /> ,<.. ,...
<br /> - ,J
<br /> t}THER -.�_, ,.,,�.�� . .-;_ .. . , .- a -,. ., . '� - . r < <.�� i . � . � ,
<br /> � � �'� ��� ' O�1Il�':Eti+iY� _�.,.�_�.��.. � _
<br /> Slt'aNAYURE� ., ���s' ;.c. . . �' ;; . , . . •:, �r,.,� ._ , . .
<br /> `REGI'STERED� Y/ N...: 'FEE CURRE��y� Y�/N
<br /> °.ss , , .r.. .,.- , , - , - - - -� ,. �, , � . _ ,.� ,,:.: - r�,`. . ,
<br /> •t�,i-sat:° - �-- . ..c�,. ' . �"'�_ . '' ` - ' �
<br /> ,0.dttC�BS :5:� _ - - ��.a`�s:� "l:ICeftsB#";(`'`' �
<br /> �
<br /> ,y�. . . ; �.+� C^".5.i:-'"�'•.� .�Y. .F'�':,.z�j;..,.<•.:.Mm>., j.�.;�,.. ,.:_:'• �tr..p ,:., .y' ;'oc d,r � . i
<br /> .RESEDEN't7Ai���,'��Attai�i'{2)�Plot�P.�'at�'s;,;(2}setsY`of.:Bu�l`ding?:Plaiis,�(:a}se#=`of<Energy�Forms;'+R=Q=W�Permif fiirnew=ccn`s_#ri�c�ori,� .
<br /> �- � Ntinimumk,ten(10)jwoti�ing�d�ys�a�er,�subii�tttal:daf�.':`RequtrecJ cnstfe;:ConstiucUon:Plans;StormwaCe�`Plans w%Siit fence�'inst�lled,
<br /> '��'s��.;�,.�-�_ .r s a . _
<br /> San(ta'�'Fadlttles&:�1Y;dum ster�+$Ite•Wor,k Pemn(t,for�sutidivisionsQerge'.qroJects`�=.;::�^�-'� - A'`�.`'_ " ` ,
<br /> ry� . �: �. f .{,,p. «,!.n, �5..,�'�';�i,e.,J. .. �, �....ai..sa3 � .:l�s:..^ � ''y.�-:.i�_:,v
<br /> CQ�YliY31ERC1 Attach{3}�t;ornpleteusets of'Bv![dirig"Plaits plus a L19e Safaty'Page:.(1}set af Energy Farms.R C?-W Peeml#-fcr nev�t:constructtbn.-�,-�- ', �
<br /> Mlnimum ten(10)working days aHer submlthal date. Required ansite,ConstrucUon Plane,Stormwater Ptans w/Siit Fence instailed,
<br /> Sanitary Fadlitles&1 dumpster.Site Work Permit for all new;proji�ct's:'All commercial�e!puir�ments_must meet compitance''°`��� ' �
<br /> t SIGN PERMi� ,4ttac�i{2Y:sefs of�ng,i'nee,r.ed;Pla�isi�,�;:_'°���;`-___::;n,=::.-�s::�.;. . . - - ^ ' . ` -
<br /> .... __..._...�._.___._x....w.w...,...r......�...,. 8on._
<br /> PROPERTY 3URVEY require�fpr all NEW:c�aristruC ..V_.,. ..:::_. ,:": ,,,,-,._ . , . � .,•. ; - . �-••. -...�:: r�:= ;
<br /> Dl�cttons: .-r��,'��+:.�., .._ . . _ .- • .. �
<br /> FIII aut a�aplicadon compl�tely.
<br /> f?wner 8+ContracM�sign back of appl(catlon.aotarized
<br /> If over$�800�a,MoSce�of Comme�cament.is cequlred. (AtC u�radea�var S?500j ,_ ,
<br /> N I 'aeS.::'�;;�'..'J��ya.�:�.Jw u.r±.; '
<br /> Agent(fo+fhe odntractor)o"r PoGiier`of�i�ttamey`�(fo�.the:ouvner)wquld,be�someone with nota�ized letter from owner authorizing same
<br /> OVER:TtiE:CAUNTERaPERNi1TTlNG�.._.-;.�,(Front=of;Applli;at�on-0n'ty},: _-'; , _t= ` .
<br /> Rercofisifshingles Sewers . ,,Seivice.Upgra�las'�'A!C •�Fences,,(PIoUSurvey/Footage)
<br /> r..
<br /> 'x4j,i,. _'i., .i '.a;:.,
<br /> DNvewa�s-Mtot aver Counter if on.publlc.ros.dways�,needs,R{3VY� � ^ .� � � � , .� s .
<br /> I �,_, ... ,. ,
<br />
|