Laserfiche WebLink
azaaao-oozo City of Zephyrhills Permit Applica#ion Fax-813-780-0021 <br /> , � Building Department �' <br /> . y <br /> Dad�'Rece�ved " �Q �� php»e Contact foc Permitting �1 � - �� <br /> Owner's Name 4J'� 'C� ''` Owner Phone Number �73�- <br /> Owner's Address �� l �. l. /� Owner Phoqe Number �— � <br /> � <br /> � � � <br /> Fee Sirr'�ple Titleholder Name Owner Phone Number <br /> Fee Sirriple TiHeholder Address _ — <br /> JOB ADDRESS �'�f / � <br /> , �,�l. J (C t '�� LOT# <br /> : � � ; <br /> �z SUBDiViSION - PAF2CEL tD# <br /> �.� WORK PROPOSED NEW COi�t$TR ADDtALT � 51��NEp FR�OM PROPERTY TAX�NOTICE)DEMOLISH <br /> t; INSTALL � REPAIR <br /> � PROPOSED USE [� SFR _. Q CCtMM � OTHE12 <br /> �� TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> 4a � <br /> { , <br /> �� DESCRIPTION OF WORK lJ U �s • <br /> r � <br /> � <br /> �� BUILDING SlZE SQ FQOTAGE�___�� HEIGHT <br /> � QBUILDING $ � <br /> VALUATiON OF 70TAL COM1iSTRUCTION <br /> f , � , <br /> k� QELECTRICAL $ AtVIP SEi2V10E Q PROGRESS EiVERGY Q W.R.E.C.- <br /> � ; <br /> � QPLl1MBING �>^-_^_� _ <br /> � � /��� <br /> # QMECHANlGA� $ VALUATION 4F MECNANICA�INSi'A�(ATION6��'J� t <br /> a � <br /> R �GAS Q ROQFING � SPECIALTY O OTHER <br /> � FINISHED FLOOR ELEVATIONS L� � FLOOD ZONE AREA QYES NO <br /> � <br /> x ? <br /> � <br /> t . <br /> N <br /> L .� �������� ��������� ��������������� <br /> k <br /> � BUlLDEtt COMPANY <br /> � SIGNATIJRE R�GISTERED Y/ N FEE CURRE� Y/N <br /> a <br /> � Address License# <br /> a <br /> �� EL.ECTRICIAN COMPANY <br /> SIGNATURE ' Re�isrEReo Y/ N FEE CURRE� � Y/N' <br /> � Address � License# <br /> � , ' � . <br /> i PLUNlBER. COMPANY • ' <br /> � SIGNATURE REGISTERED " . Y'/' N FEE CURRE� ' "'Y/N' `�� <br /> � �Address License# <br /> MECHANiCAL COMPANY - <br /> SIGNA'LURE REGISTERED Y/ N. - FEE CuwzE� � �: Y�/N � - <br /> � -f . <br /> Address �icense#.e�. � <br /> .` - <br /> OTHER, . , `/� COMPANY Yt�k.'.. l/� '�`t�'' <br /> SIGNATURE v �--^"""L---��'""� REGISTERED Y/ N FEE CURRE� Y./N <br /> i:' <br /> `� Address _ ,L�icense# � � <br /> �"' - <br /> ;;� � �_ � . .,-z.� ,. . ,. � , ., ,- : �. , . _ <br /> �,= RE5iDENTiAL��' 'Rttacti(2}Ptot Plans;'(2}sets af Buitdtng Plans;_{1}se#of Energy,Fariris;'R-O,WV:Permit''foc new construction,. <br /> �F Minimum ten�(�1.0)working days'affer su6mittal d'ate. Required onsite;�ConstructiomPlans;Stormwater Plans w/Silt Fence installed, <br /> i.>. Sanitary Faciiities&1 dumpster;Site Work Permit for subdivisianslfat�e projects <br /> � COMMERCtAL Attach(2)complete sets of Buiiding Plans plus a Life Safety P.age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> i>` <br /> Minimum ten.(10)worlcing days after submittal date. ReGui�ed`onsite,Constructlon;Plans,Starmwater Plans w/Silt.Fence installed, <br /> Sanitary FaciPties&'!"`dumpster.3ite Work Pertnit for all neuv projec#s.All cammercial requirements must meet complaance <br /> , - SIGN PERMIT Attach(2);sets�af Engineered Plans. , <br /> ***•PROPER'TY.SURVEYrequired for all NE1N construction. , , <br /> Directions: <br /> � Fill out application completely. <br /> ( 4wner,�=Contractor slgn back of appl3catian,natarized <br /> If over$2500,a Notiae of Commenaement is required. (AJC upgrades over$75Q0) , <br /> ** Agent{for the contractoe)or Power.of Attomey.(for the ovmer}would be someone with notarized letter from=ownerautha�izing same,� - <br /> OVER THE COUNT.ER PERMITTING (copy of contract cequir.ed) , � <br /> Reroafs if shingles Sewers $ervice:Upgrades A!C � ;Fences(PloUSurvey/Foatage} � _ � . � , <br /> `Driveways-Not over Counter if an public roadways..needs ROW �� " � � 4 <br />