|
~ r 813-780-0020 City of Zephyrhills Permit Application Fax-813-78p-Q021
<br /> Buiiding Deparlrr�ent -
<br /> Date Received .� Phoae�Contact�for=Pan»ttf�n lJ f� . !O c� _ ;�l��� `
<br /> t
<br /> Owner's Name � G tN" �D E?R• y �f1�G Owner Phone Nun►ber �l�'�+��r��g!
<br /> Owner's Address / /G7 LL� �Owoer Phone=Number� �� �
<br /> Fee Simple Tltleholder.N�me � � Owner Phone Number �- �
<br /> Fee 8lmple Titleholder Addresa
<br /> JOBADDRESS � C� OGC/dD d i �"�7/�<S ��� LOT# ��
<br /> SUBDIVISION � � PARCEL tD# . . . , ,
<br /> , (OBTAINED F.ROM.PROPERTY,TAX NOTICE)
<br /> W4RK PROPOSED NEW CONSTR ADDIA�T � S1GN [� �Q DEMOtlSH
<br /> ��.e. INSTALI. � REPAIR , .
<br /> PROPOSED�US�- Q SFR Q GOMM � OTHER � ' " '
<br /> TYPE OF CONSTRUCTION - Q- "BLOCK " Q FRAME �� .� STEEL Q
<br /> .. ��5e G � �N ��au- a � ' . � S �� �'�' �n� '
<br /> DESCRIPTIQN OF WORK' �
<br /> BUIt»D1NG SIZE' �` �"SQ fQ{)TAGE F . , „HEIGtiT ��; �
<br /> �$�«�»�'' � L , � VALUATfONpOF='iG►1'AL�Ct3NSTRtJC1'ION , . " '
<br /> QEI.ECTRICA! �" � AMP SERVIGE Q PROGRESS ENERGY Q W.R.E.C. ,�
<br /> QP�UMSlNG•= �[;� � .
<br /> �
<br /> �MECFlANICAL $ ���ho �, YAl:f:lATtOfV QF�MECNANICAI tNSTAlLAT10N , , J
<br /> (/
<br /> QGAS Q ROOFING _Q SPECIAI.TY C.� Q7HER� _ ` '
<br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES. `NO
<br /> �•� �:, .
<br /> BU1l,DEit COMR%WYY . .
<br /> SIGNATURE REGISTERED Y/ N 'FEE CURREP ';Y/N
<br /> Address � ( -Llcense#'�- �
<br /> EtECTRICIAPl: GC1MPl1NY . - . -
<br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE��` 'Y/N
<br /> �
<br /> Address , � - � � , Uoense•# ��� �
<br /> P�UMBER ' CQNIP.ANY ' .,
<br /> SIGNATURE' ' �REGISTERED� Y./�.N�< -•,,. ,.FEE QURRE� Y.�/N..� ,. , -
<br /> Address _-License,# (`. '� � . � ' .�.
<br /> � . ., ,. , .
<br /> MECHANICAt: ' , ��.. �j �,� cor�P�r ; �t��v`5' �o" A�1}� � t-- �,G:..'�'��,
<br /> SIGNATURE' ' � �`�/��""�"��'..�'`' � REOISTERED , Y./.N . :,��FEE CURRE�;. Y/�N � „
<br /> Aldd�ess' �' � �` 1.�5 _,Ucense# ��.'r'���TO . 1
<br /> - :r.
<br /> OTHER _ . } _ . '4GOtiMPANII �
<br /> SIGNATURE " • � • � � ` ^ ° �REGISTERED` � Y/ N.,. � FEE CURRE� Y/N
<br /> Addre�s � �s �t. � s ,. � :��*� • ` ` ticense#`� � � . ,!.
<br /> � �.�.,. � _,.,, ,
<br /> �.... .�r�nn-'i� • ' `: Y' ' . . .. `` " •� ' � .
<br /> RESIREN'[IAt;,_==:Attai�i;(2),,Rlat_P,lans;:(2}sefs=of�BuEldiiig'�Plans;'(1)sefof'Energy�Fanns;tR=O=W�Pezicmiifcr.�ewconsbvctlon, , -
<br /> - ;:. Minimumktem(1,Q).�+±(orking,days;afte,r„submtftal`date`:Requlred anslte;�Constiiiu^tion�P-lans;�Starmwater'Pians w/Siit�Fence=instailed,
<br /> 1�.A���Sanitary�acil(Ues�&,1�du.mpsterpSite�Work�P:,.ennit#o�;"subdivlsions/large�projects,-,,r;_.;: Y, ' � � � �`-�
<br /> COMMERCIJR�i Attach{3)�carripJeta se£s'of BuiCclliig Pla�s'pios a'Li#e Safef}i Page;`{'f)set of�aergy Forms.!2 t?-W Petmlt�for new constsuctlon.
<br /> Minimum ten(10)woricing days after submittal date. Required ansite,Construadon Plans,Stormwater Plans w/Silt Fence instafled,
<br /> Sanitary Facilides 8�1 dumpster.Site Work Perrnit for all new projects:.All commercial requlrements must meet oompllance � ' •
<br /> SI�ld PERMIT Attat�{2)sets of Engliiee.r,ed�Plans..; _� - .' � ' � `
<br /> "'•PROPERTY SURVEY requfred for all,NE4`U coristructlon.
<br /> DireatEons: � _ ,. .' '
<br /> Fill out applicadan completely.
<br /> Owner&Contractor sign back of applicatlon,notadzed
<br /> Ef over$2500,a Notice of Commencement is reqalred. {A/C upgrada�over 3T5d0)
<br /> `tl si+��4�.
<br /> '• Agent(for the cantractor)or"Power of Attomey"(for Uie owner)would be�someone with~notarized letter from owner authorizing same
<br /> DVER THE COUN'i'�R P_ERM1T�11ytG... -, (Front-pf-Appllcat�Rn-Oniy}:.. � -• ' . ._ .� . , ,.. _ �
<br /> Reroafs if shi�gles Sewers � Service Upgrades.A/C Fences(PIoUSurvey/Footage) . � � ' .
<br /> . _ _ , " . , . . „ � . , .��,
<br /> Drlveways-No#aver CauMer if on public roadways..r`teeds RC1W` `, � '. " „ '
<br /> , , ,.- ,. .� _ . � - ,.. _. -� �. .. - . ... ,.
<br /> �
<br />
|