|
a`13-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> _ . Bu(Iding Departrnent - '
<br /> Date Received Phone Contact for�Permittln �` =
<br /> Owner's N�me C( �(., Owner Phone Number
<br /> Owner's Address 5�a� l� (�QSS �fi Owner Phone Number
<br /> , , .
<br /> Fee Slmple;Titleholder Name Owner Phone Number
<br /> Fee Simple'Titlehold�r Address
<br /> JOB ADDRESS ��-a� �-Q.SS ST 2-2 rl C�' �IXS �I� 335�Z LOT# �
<br /> i
<br /> SUBDIVISION ' P.ARCEL ID# ��'���� a"� - �U �Q � ' DOC�O~D a.Sa
<br /> i . (OBTAINED FROM PROPERTY.TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR ADD/ALT Q` SIGN Q � Q DEMOLISH
<br /> ' �e INSTALL 8 REPAIR �
<br /> PROPOSED-USE � Q SFR, Q COMAA "Q �OTHER ' � �
<br /> TYPE OF CONSTRUCTION Q� � BLOCK " Q FRANiE ' � `STEEL" Q _
<br /> DESCRIPTIOPI OF VYORK r� S �� 0.C(��
<br /> i
<br /> �UILDING SIZE � � � SQ FOOT�IGE . ,,HEIGHT�
<br /> OBUILDING $ � , VALUATION:OF`TOTAL'CONSTRUCTION �
<br /> ! l' �2�
<br /> � , �_
<br /> QELECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E:C.
<br /> " .
<br /> QPLUMBING� $ ' '
<br /> � �� � (q�l�
<br /> QMECHANICAL $ � ` VALUATION OF;MECHANICAL INSTALLATION
<br /> QGAS Q ROOFING .Q SPECIALTY Q _ OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
<br /> BUILDER COMP'14N1f� � - �
<br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N ,
<br /> Addre�s Cicense-# � '
<br /> r
<br /> ELECTRICIAN: COMPANY � -
<br /> SIGNATURE w' REGISTERED Y/ N FEE CURRE�" "Y/N
<br /> Address ` � , ; License# �
<br /> PLUMBER COMPANY�.;�,l ' .
<br /> SIGNATURE` ' � � . �REGISTERED Y:/.•N,= , o;FEE CURREA Y/N. •
<br /> . a. _
<br /> Address • - - �. � , , � � , - „
<br /> , License,#
<br /> MECHANICAL' � � COMPi4N1f . - - ,
<br /> SIGNATURE ° � � " � REGISTERED, ..Y./ N ��FEE CURREA� , Y/N
<br /> ;. . ,
<br /> Addres�'� �` a � , ; . , � � License.# -
<br /> OTHER -- • ` ';COMPANY: �• C�.� d��s
<br /> SIGNATURE ': � REGISTERED � ` Y/ N,. FEE C RRE� Y/N-
<br /> Address , , : . ,.: , . - ' License# .. . - .
<br /> ��`� .. .�: .-.. ::Y z',r... . . . . � .
<br /> RESIDENTIAL:; - �Attach'(2)�PIof.P:la`n's•;.'(2)seEs=ofBuilding��Flens;'�(1)sefof'Energy�Forms;�R=O=W�Perrriitfornewconstruction, '
<br /> - s•Minimum;ten;(:1.0):working+days,efter;submiftal dafe.:?Requir'ed onsite„Constiuc8on Plans;Stormwate�`Plans w%SIItFence installed,
<br /> ^Sanitary�Facilttles�&�1,;dumpstertStte';Worlc�PetmitforsubdiVlsionsAarge:proje'cts ;,_.�:.;:� ' ' ' " '• �
<br /> COMMERCIAL Attach(3)�complete sets�of Building Plans�plus e Life'Safety�Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days after submittal date. Requtred ons(te,Construction Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilitles 8 1 dumpster.Site Work Pertnit for all new projects.:All commerGal requlrements_must meet compliance
<br /> SIGN PERMIT Attacti"(2)"sets of'Engineer.ed;Flans:,,�:.�.�, .. �• '� •� � �
<br /> ;
<br /> "'•PROPERTY SURVEY required for all IVEW conshuction., "
<br /> Dlrections: -� _ • '�
<br /> Fill out applicadon completely.
<br /> Owner 8 Contractor sign back of applfcatlon,notarized
<br /> If over�2500,a Notice of Commencem�nt is requlred. (AIC upgrades over 57500)
<br /> ...:�<>�tr�:`%"�': �;
<br /> " qqent(for the`cantractor)or Power of Attomey-(fo�:tFie owne�)would be someone with notarized letter from owner authorizing same
<br /> DVER THE COUNTER.PERMITTING-� -,,;(Front of-ApplicaBon•Only)Y- � � "
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> Drivew�ya-Not over Counter if on public roadways:,need's ROW" �
<br /> /
<br />
|