Laserfiche WebLink
ais-�eaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received phone ContactforPertnitting `�I � - V�5� <br /> Owners Name Q�1'10� C� bM� Owner Phone Number �� "0 � 4 7��o <br /> Owners Address �p��� I.GLM(it� � Z 1,(�11� S Owner Phone Number <br /> 540 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehalder Address <br /> JOB ADDRESS O LQU� CQ Z'e \I S�'I'O LOT# � I <br /> SUBDIVISION 1` PARCELID# So�S'o7I�����V��-I i <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br />, PROPOSED USE Q SFR Q COMM � OTHER u, <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> chA.�Seo u-t � �n X l lp5'�3'1�t,7v �prGD� ,1 Sc�n' 3t»n,8' v�► <br /> DESCRIPTION OF WORK �p d '(,�W cY1� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � ti/q 1�'V1 W��, p1.l.I.') <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I <br /> a`�' W�Yf.�u-ll <br /> OPLUMBING $ I <br /> �MECHANICAL $�'^O� VALUATION OF MECHANICAL INSTALLATION � I <br /> Vl ��• . <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> ��.�...ri..0�.-ri.��.-.��i��f:� D-:� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> � <br /> ELECTRICIAN COMPANY I LI,Q iCCS j <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N , <br /> Address �}- /Cf� c5�" CT� ro.cle�.�han ' y .'� License# "C� d�1� Z I <br /> I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address License# I <br /> MECHANICAL COMPANY ' `� ���-e-S i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address S( �q�' � � r �3 License# N"(., oZ SS <br /> OTHER COMPANY �- � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ; <br /> � <br /> Address License# i <br /> � � ii � ii � i � � � i � i � i � � � � � � � � � i � i � � iiii � � � e � ii � � � s � � t � � � � � � � � i � i � � � � � � i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects � <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construclion. � <br /> Minimum ten(10)working days after submittal date. Required orisite.Construction Plans,Stortnwater Plans w/Silt Fence installed, I <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance ' <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> •,1,,,s <br /> Directions:• <br /> Fill out application completely <br /> Owner&ConVactor sign back of appliption,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over�7500) <br /> •' Agenl(for the contractor)or Power of Attomey(for the owner)would ba someone with notarized letter i;om owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlutiSurvey/Footage) <br /> r,� STEPHANIE SII�ITH <br /> °tr��� MY COMMISSION#Ff910782 <br /> Driveways-Not over Counter if on public roadways..n s ROW =� tn <br /> /�„ I�O f ��/ � IXPIRES:AUG 18,2019 <br /> �'�� C I � �"� Bonded through 1 st State Insurarce <br /> J <br />