|
813-780-0020 City af Zephyrhills Permit Application Fax-813a8aoo2� �
<br /> Building Repartmant
<br /> Date Fteceived Phone-Contact for�Rsrrrilttin
<br /> Owner's Plame �'�S /'Q., Owrner Phone Numfaer O �.,,1 .�L.1���
<br /> Owner's Address �S � ��� Owner Phone Number
<br /> Fee Simple TI#Ieholder Name �— � Owner Phane Number �i, �
<br /> 1 �
<br /> Fee Simple TltleholderAddreas �
<br /> J08 I�DDRESS ���� � S� LOT# ��
<br /> SUBDiVISiflA1 �. � PARCEI,tD# -
<br /> , (OBTAINED FROM,PROPEIiMTAX NOTICE)
<br /> WORK Pt20POSED � NEW C4NSTR ADQIAIT � StGN Q Q DEMOI.lSH
<br /> � INSTALL REPi41R
<br /> PROPOSEDfUSE SFR Q GQMM Q -OTHER �
<br /> TYPE OF CONSTRUCTION BLOCK " [� RAME STEEL
<br /> DESCFtIPT{ON OF WORK' . Q
<br /> BUItDING S12E � � SC1 EOOTAGE CW� .HEIGHT _..�
<br /> QBUtGDING $ �j�'(� � . i 2 VALUATION'"CIF TO'F'AL CONSI'f2t1CT10N .
<br /> �J
<br /> QELEGTRlCAt. � � AMP SEI2VICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> OPLUMBING ��`� __ � G�
<br /> QMECHi4NiCA� $ 1tAl.UATION OF,MECHANICAI INSTALtATit?N � � '� L �
<br /> . - ��(�� ,
<br /> (�.i +�j t
<br /> OGAS Q ROOFING .Q SPECII�t.TY C� OTHER �
<br /> FINISHED FLQOR ELEVATIONS FLOOD ZONE AREA QYES. .NO Ge:6�'"
<br /> -. ,�,. -
<br /> , �
<br /> B!lI�DER ^' ��OMPANY'
<br /> SIGNATURE � REGI3TERED / N FEE CURREP Y/N
<br /> Addre�s llcense# � �
<br /> fiLECTRICIAPI, . - r;COMPANY _
<br /> SIGMATtlRE � REGISTERED Y/ N FEE�CURREK'' Y/N
<br /> e�
<br /> AddPess' � ,. license# �� �
<br /> P�UMBER � . : COMPANY • - -- _ ._.__ --_________ �_, ._ — - -
<br /> . 31GMA1'1JFt�� � - -- � - " ' REGiSTERED Y/-_N�, . EEE:CURRE� - Y�/N
<br /> Addre�s . � � �cense.# � -� �- (.
<br /> MECF#!o►[VIGAt: ' COMPANY. � .
<br /> SIGNATURE � REGIS7ERED � Y,/ N . FEE CURRE� . Y/rN
<br /> Aildre�s%�. , , , . ' Y Ucanse# �! - „ I
<br /> 07HER . - . ` ' ' 'COMPANY ` ,
<br /> SiGNATURE ==_ � � ' ' � ` REGIS7ERED' 'Y/ N,.... �,FEE CURREh Y/N
<br /> Address , - , � • ' � t..i�oense#'� � '
<br /> ��: � � ;.
<br /> RESlQENTfAi:�;� Attactr{2}„Plot�P,lans;-_(2)§ets:_of Buililing�Flans;{'E}se#of Energy`Foims;,R�W Psmiit far new canstructiar�, . ,
<br /> - � Minimum:tem(4Aj;working;days after§ubriilNal"dat'e.;=Requtred ansite;:Conetrucdon=Rlans;�Stomiwrafe�'Piens w/SilfFence instailed,
<br /> ~." � �SanitaryFaciliUes>&;1.dumpster�;Site�Work^,P.,ertnitforsubdiWsiansAarge�p,rbjecM, , �._. " ' �
<br /> COMMERCiAt. _ A#ac_h{3}-comple'te�sets of Buitiling=Plans picis a t:ife Saf�ty Page;�{1}set af Energy Fotms,R-4 W Penntt iar new canstrucBon.
<br /> - Minimum ten(10)working days'after submlttai date. Requtred onslte,Canstruckton Plans,Stortnwater Ptans w/Siit Fence instatled,
<br /> Sanitary FacfliUes&1 dumpster.8ite Wark Pertnit for all new.•proje`cts.All commercfal requlremerots must meet campliance �
<br /> SEGI�PER[�IT Attac�i{2)`sets of'�nglneer,e�:.Pla�is., _-.;;,:.`� ; -
<br /> •'•`PROPERTY SUR1/EY reguireci for.all NEW_conshuctian. .
<br /> Direc#lons: � � `
<br /> FIII out applicaUon completely.
<br /> Owr►er�Contrackor sign back of applicatlon,nota�ized '�
<br /> !f over�?504,a NatFce of Commencament is requi�erd. {d1tC upgrades mver$'t500) `
<br /> '" Agent(far the conVacto�)'or Power of Attomey(for tlie owner)would be'someone with natadzed letter from owner authorizing same
<br /> �VER THE CQUNTER PERMITI'ING,:.,,.,:--.(Front•of RPPlic�tiori�Oniyr)' .� - "�
<br /> Reroof�If shingles Sewers° Service Upgrades-A/C,, � ;Fences(F'IodSurvey/Footage) , : � • �� _�
<br /> Driveway�s-Plot aver Counter�f on pubtic Yroadways::rieed§}20VIt� '' '
<br /> 1
<br /> . ��
<br />
|