Laserfiche WebLink
a�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> '�Date Received •,Phone Contact for Permitting �Z�7 t� -- �J J S <br /> Owner's Name �J�L� N/��fJ K��G/N C/� � wner �hon�Number . <br /> Owner's Address � � � S���� � �`� � �� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address. <br /> JOB ADDRESS S I � � SV M- +�^-l� � '�t � L—L-- u� LOT# � \ <br /> SUBDIVISION U�✓v`�� PARCEL ID# Z '�b' Z� � � l a O ' C��o a� � � � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED B ' W TALLSTR B �PAIR � SIGN Q Q DEMOLISH <br /> PROP.,OSED USE Q SFR Q COMM � OTHER � <br /> TYPE'OF CONSTRUCTION Q BLOCK - Q FRAME Q STEEL Q <br /> /ti�r n - <br /> DESCRIPTION OF WORK �9 ��� ��' N K��-�G�M��� <br /> L � �r tJ/ <br /> BUIL"DING SIZE �E � C b HEIGHT • <br /> QBUILDING $ (� j `Z VALUATION'OF TOTAL CONSTRUCTION <br /> I <br /> QEI:ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �P�-�— ��N �� <br /> SIGNATURE REGISTERED Y`/ N FEE CURRE� Y/N <br /> Address �.3 D��--51�.7�1�. 5�1 License# <br /> 'ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N <br /> Address - License# ' <br /> PLUMBER,._ COMPANY � ' <br /> �-'SIGNATURE REGISTERED Y•/ N ` - FEE CURRE� Y/N <br /> Address , License#` <br /> .'.MECHANICAL � COMPANY <br /> SIGNATURE`"' � � REGISTERED , Y/ N , FEE CURRE� , . Y/N - <br /> Addre'ss`�' � ' � License.# <br /> .;�.; :, , - . <br /> ,: OTHER�.=_': ' " � COMPANY <br /> `"SIGNATURE�,, � ° ' REGISTERED ` . Y/.N FEE CURREK Y/N <br /> �.', y. , ' <br /> , �Address�:- • - � � License# <br /> ='=.RESIDENTIAL;,�;. .Attacfi.y(2);PIot=P..lans;�`(2):sets of Building�Plans;(1)'set of�Energy'Forriis;R=0=1N Permit for new.const'ruction,� <br /> - : .. , ::, ;: . . • <br /> �.;. ��,:•;�;�:>.�r,.--�Minimum:tern(,10)-working;tlays'after:su6mittal�iiate:;Required`on§ite;Constniction Plans,Stormu"vater Plans w/Silt Fence installed, <br /> :�;__,' �r �� i� ��Sanita.ry;Facilitiesz&=.1+.dumpster;Sife:Wor,ir Permit for,subdivisionsQarge'project"s � � � <br /> r;:COMMERGIAL Attach'(2)`�complete sets of'Building�Plans plus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUvction. _ <br /> '�- - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.,Site Work Pertnit fo�all new pinjects.All commercial requirements.must meet compliance � <br /> �.:;.SIGN"PERMIT Attach�(2)sets.of-,Engineered.;Flans:��a ,-� ,_� <br /> ""•"PROPERTY SURVEY required fo[.aII:NEW construction: , , <br /> _�Directions: . �:><r ,- _ _ _ . , . . ,. <br /> �Fill::out application completely. <br /> O.wnet.&Contra�tor sign back of appllcation,notarized <br /> If over.$2500,a.Notlbe of Commencement is required. (AIC upgrades over$7500) <br /> :"' Agent(fo�-th'e�cont�actor)�or PowerofAttomey(for ttie owrier)would be someone with notarized letter from owner authorizing same <br /> ;,',OVER.THE;COUNTER;PERMITTING, (copy..of contract-.required) = - <br /> �:.�=Reroofs if•sfiingles Sewers Service Upgrades A/C Fences(FIoUSurvey/Footage) <br /> Drlveways-Not over Counter-if on-public=roadways:aneeds•�ROW=�����-•-•� <br /> � !j����;+�;:;�u,;�3a:, .,:tCj ,•�a;,';, ,, <br /> . .. , ,"': :;ria>i:...,.,., ,, <br /> • .i�.' ,'1 ,":iY;;.!�i�_. .- , <br /> _. �. �U�,. ' - ,.� ^'c".�.� ;'7":'._ ...� it <br /> .. - .:_...._. . ....w�+�c.,e..rn��.�a....n rs...__-'.._... <br />