|
i
<br /> 813-rso-oozo City of Zephyrhills Permit Application Fax-819-780-Oa21
<br /> , Bullding Departmeat
<br /> Date Recelved Phons�Contact for Pernttttin 3 f �j.�' — �'j�r��r 3 �j������ZlT�
<br /> �
<br /> Owner's Name �ad=� Sto � Al1LI+e. ��t�'1 e� T��t.'f Owner Phone Number ���'�y��� 4 7 � �
<br /> Owner'sAddress 38S..a�o ( ����/1 � -OwnerPhoneNumber � �
<br /> Fee Simple Titleholder Name �� ' � Owner Phone Number �� �
<br /> r.- �
<br /> Fee Simpte Titleholder Addnasa ^
<br /> JOB ADDRESS 5'7 y� � �� T��'�T �Z� /1 ' IS �L ,3 3 �y LOT# �i �i 3 8�.7 !
<br /> SUBDIViS10N � . —� • PARCEL ID# 1 �- 2 ro- � �- 0�i O~d �o - O O 10
<br /> , , (qBTA1NED FROM PROPERTY.TAX NOTlCE)
<br /> VYORK PROPQSED :tdEvu CONSTR� ADp/A�T � SiGN Q • Q DEMOLISH
<br /> �e: IN51'ALL 8 , REPAIR
<br /> FRQP05ED:USE Q SFR � COMNt [�,� OTfiEF2
<br /> TYPE OF CONSTRUCTION �� �� " BLOGK " `[� FRAME � .C]- STEEL �]
<br /> DESCRIPTION OF WORK' Pw �h IG a � t�o� [,.
<br /> BUtLDING StZE 2�a f x t'�'2-� � S4�fOOTAGE ' ���a , , HEIGHT�.C"T_�__��
<br /> QBUII.DiNG ��� VALUATiON±OF TOTAL'CONSl`RUCTION � �
<br /> ?Q � (j0 O
<br /> DE�ECi'Ri�A� i� ��5 o a � AMP SERtliCE ZO a � � PROGRESS Eh1ERGY Q W.R.E.C.
<br /> �.... /1
<br /> QPLUMBING $ � So C�' _ ` r�� '— fG�'� �
<br /> � ��.r �
<br /> �MECMANtCAI. $ � �� � YALUATSQN OF 11t1ECNANICAt.i1�lSTALLATlt?N � , �
<br /> �� �e�'ry r Cp �-'�
<br /> o�� o �oQ��NG o sP���A�,� o o���� ��s � ;�-�
<br /> FINISHED FLOOR ELEVATIQNS FI.00D ZONE AREA YES NO �
<br /> ` � � 1�1(,� !� ' �
<br /> BtlFLD�R � COMPANY�� �"C'f r�10 �ASS a!C j� �S1 L�.� � "'"
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> �, Addresa 7�0$� e �~ {)� �,�tS•SIQ C� e.� Fl.33S Ctcense# �iG�,. lS 0,(�3� �
<br /> � .` �,. �
<br /> ���cr�c��i " ___��.._ coM�a�r - l�-r�'fl �. C_..
<br /> SIGNATURE S� � I�"(.�� REGI37ERED Y/ N FEE'CURREM `Y/N �
<br /> i Address ; . - Ltcense# i 4 � /
<br /> I �.
<br /> � t�LUMBER `�_ , COM�ANY -Pt" JJJ :�.� l�S�OG,�h�'�j �{,L�
<br /> SIGNATURE'' � �/�� , REGIS.TERED Y/ N FEE CURREK Y/N
<br /> Address ,license�,#
<br /> MECHANICAE: '��� •� ; �~ , COMP�Ilt
<br /> S�NAT�IR�F,'/'„ ' � REGISTERED Y,/ N . , ,_ FEE CURREA- ,,, Y/N „�
<br /> ,�..YJ� (:,ut. , . � . _ . - �
<br /> Addrsss ' - ' License#
<br /> 7 ,op . - ,
<br /> OTHER . . • � r :GOMPAMY � -
<br /> SIGNATURE- .- ' � " � � ' ' � ' REGISTERED� Y/ N... 'FEE CURRE�• Y/N
<br /> Addrass - °°r ��s:. �'� �� - ' Llcerise#�� �
<br /> M� - �;_.,; .. ,, *,;..: ,,... . . .;
<br /> RESiDENT1Ai:?� ;Attaoti;{2},Plot�P;laos;,,(2)sets.of Bufiding�Plans;'('f}seE of<Enengy'�orins;�R-0=W�Perimiit for neuv construction, .
<br /> =. � .�:Min,imum�dten�(,1,0);working�days a#ker„subm�ffal'date::-Requlred ofnsife,°�Consfrtiokion�Plans,�Stonnwate�'Plans w'/SIIt Fence installed,
<br /> '�� ��Sanitary Facilldes:&,1,dumpster.Site-Wor1c,P,.ermit for subdiWslon§/Iarge�pcoJectsi;. .is� ' �
<br /> COMMERCIAL AtEach{3}•ooirsptetei sets rif`Bultdtiig`Plans plus a Life$afetji Page;{1}sef of Enetgy Farms.R-Q W Petmtt for nsw canstsu�tion. - � - -
<br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruction Pians,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facllitles&1 dumpster.Site Work Peaqit for all new'proJects.All commercfal requirements_must meet aompliance
<br /> SiGN PERMfT Attacti(2)"ssts of'Eiigl�seered�Plans, .,.�,.< , _ .
<br /> ..««PROPERTY SURVEY reyulred,for all,NEW ganstrvctlan., _
<br /> Dlrec#ion�: - . . . '
<br /> Fill out applicadon completely.
<br /> Owner 8 Conhactor stgn back of appitcatton,noEadzed
<br /> tf over�2540,a Notice of Commencement ia required. {AIC upgrades over E7500j
<br /> " Agent(for the contractor)�or Povue�of"Attamey'(tor tfie ownerj would be'someone with notarized letter fram owner authorizing same
<br /> DVER THE CClUNTER:PERMITTiNG.. �.-:tFront-of APPitcatiamOnty}-� � , .,_ _ �,
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) �•'��' _� , " •
<br /> Drivswaya-Not rner Counter if on public�roadways..neads,ROijU� �� ' �., _, '`';'," ,u � �
<br /> _� � � . N ::�,..�-., '• . ,..,. . . i`.a�' -
<br /> ., , . , : �.� :,,....:,..;;; . ,,•:., .
<br /> , . ._ . 3 v 'x.i,'.*,r,,.t+.,ss.�yx„ �y , � t
<br /> ., . _ ,. - i '•m.....w.. .. �,a. .._.
<br /> .- :n,.v ....,n-.-._ .,.r�....- .r u ..a,.....{
<br />
|