Laserfiche WebLink
. • <br /> 813-780-OOZO City of Zephyrhills Permit Application F�-e��-�eaoaz� <br /> Bui��depertment` <br /> r <br /> a��.�,od � � � "t 3 <br /> , , � � � � � � ��.��«��P.���� � 4,51 -� �,l 4 . <br /> Ownde Name —t �v.�-T` i IS u�p�K phon�Number <br /> O�rnn'sAddna� �� �VO 1C H � Own�rPhon�Number <br /> F��Simpb TiWhotdar Name OrMK Phon�Numbo► <br /> F�e Slmple Tlftahold�rAddras� <br /> .►OB AODREss t l,/�L�` L i��U��/�lYRH I � �� �"'� �ors � <br /> sueaws�oN �1 �i IS `t' PARCEL IDI� �}'o�S' -��l Q-GL'�-OD�D <br /> (OH1A1!lDNtOY PROP9RYTAXNOTGE) <br /> WORK PROPOEED B NEwconsrR e ADD/ALT 0 SIaN Q 0 pEMOL1SH � <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �l. <br /> 7YPE OF CONSTftUCTION �] .BLQCK Q FRAME Q S'EEEL Q <br /> DESCFnP7i0AlOFWORK E �15�� c,�.�ti �ECOuE2 l rE.� �e1�rslt ��� <br /> �,����5� t�3 ��,�°i�o�1 HEIGHT � �n' <br /> �BUILDING S � D� VALUA710N OFTOTAI.CONSTRUCTION <br /> [�ELECTRICAL � AMP SERVICE Q PROGR6SS ENERGY Q W.R.E.C. <br /> QPLUMBING S ��FS��v <br /> lJ <br /> QMECHANICAL S VALUA710N OF MECWWICJI�INSTALLATION � �� /� <br /> � <br /> QC,AS Q ROOFlNG Q SPECIALTY Q OTHER � <br /> FlMSHED FLOOR ELEVATIONS FLOOD 20NE AREA YES NO � <br /> 3 <br /> BUILDER /�p/� �' Q�` <br /> 8lONATURE � �aie7E !N � Y!N � l I // <br /> -' .. e <br /> Addn�s Q - ia c. u C- A ^r Lteenae G S� �� �/ j`. `Cr�"�,''o <br /> ��G�7/I <br /> ELfCiRICWH COMPANY S� / <br /> SlGNATUAE REas7EpEo Y!N FEECI�B. Y/N �gr�- <br /> AAd�ees Llaeneat <br /> PLUMBER C�IApANY <br /> SIGNATURE ftEGIs7�D Y!N FEE WRRET Y!N <br /> Addnss Ucenae i � <br /> MECHIIMCAI, CpMpANY <br /> 310NA7URE aEolBiEqED Y!N Fff q1RR�. Y I N <br /> Adtl�ns License! <br /> OTHER COMPAHY <br /> 91bNA7URE REAi9fEqEn Y!N �cuarm� Y/N <br /> Addnss Uanse i <br /> 111111illlfllf1111111111111111l111 { IIIIIIIIIIIIIIIIIIIIIIIIIIIIItII <br /> RE9IDENTIAL Allerh(2)Plot Piens:(�seb af Hufl�9np Plens:(1)eet d Enelqy Fortne;R-O-W Pertntt(ornew oonaUucUaf. <br /> Min6num ten(10)iwrkinq d�ys eRer submitfal date, Readl�Wufte.Corelrtwiton Plens,StamwNer Pk.ma w/Sifl Farxe InsUlled. <br /> sainary FacBitles a 1 aumpster:91ea wonc remifl tor e�balvlatonenape p� <br /> COMMERGIAL Altath(2)csmpkte sels af Build'up Plain plu�e Ufe S�fe�r Ppe;(1)eet M Enerpy Fortns.RA�W Pamel tor�mw caistrudion. <br /> I�nknum tan(10)woAdrp deys eMer eubrnind date. ReqW�ed onstte,Construdlon Pidfs,Swtmwetar Pla�a wd 8Nt Fence instelled, <br /> Sun'hery Fec�7ities 31 d�rtpsta.Site Wak PamH for M new proJects.Ail mmmerdnl reqWrcments must meet mmpYaMr <br /> SION PERMIT Attach(2)eet80f Er�qineerod Pl�s. <br /> ""PROPERIY SURVEY requlroA for e0 NEW ewf ehucdon. <br /> Dlnetbnn:• <br /> Fl9 out eppUration omnpietely. <br /> Owner6 Cantra�Yar aipn bedc of eppAeaHan�not�ed <br /> H ove�f2500,e Notle�of Comm�ne�m�nt b requleW. (MC uppradas owr t7a00) <br /> " ApeM((or tlie mMiado�or Power o�Ariomey(for tl�e onneh wouid be eomeana wMh nolerized lenerfiom owner eutlwdvjnp seme <br /> , OYER SHE COUN7FR PFRMIITIING (copy M ooMract t�ufretl) <br /> Reroofa�shinpba Sewea SeMoe Upgretlea NC F�ees{PIoVSureylFooteOe) <br /> Drhwrays-Not over Camter N on public roadways..needs ROW <br />� <br />