|
a��aeaoo2o City of Zephyrhills Permit Appiication Fex-813-780-0021
<br /> Building Department ,
<br /> ; i .
<br /> Date Received �`� Phone;Contaet-for�Psrmtt#ia . f �
<br /> �_
<br /> � j_�
<br /> Owner's Name G r✓f�' �N',e r Owner�hone Atutrtber f —�� — ,.�
<br /> Owner's Address ��C� �/�t � Owoer Phone Number �
<br /> Fee Simpie 7lkiefiolderName Y • Owner Phone Number �— ��
<br /> } - _'
<br /> Fee Simple;Titleholder Addresa
<br /> J08 ADDRESS ���E' G{(/C�� L07# ��
<br /> SUBDtVIStON � � PJ�hRCEL ID# '
<br /> (OBTAINED FR4M.PROPERTYTAX NOTICE)
<br /> WQRK PROPOSED NEW CONSTR° ADDIAI.T � SIGiV Q �[� DEMOi.tSH
<br /> , e. INSTALL 8 REPAIR
<br /> PROPOSED�USE � � SFR Q CQMM � C� OTHER '
<br /> TYPE OF COPI3TRUCTION Q �� BLOCK ' �[�� FRA(ulE �� STEEL 'Q
<br /> DESCRiP7iON OF WORK` , �e �d ot t,rL� �% �z
<br /> � `
<br /> SUILt31NG�tZE �� � SQ fOOTAGE rT� �
<br /> , ,L ,�J; HEtGHT .�.� ,
<br /> QBUII.DtN{3 $ p ��� VALUATION�F'TOTAL`CONSTRUCI'iON � `
<br /> � � ,
<br /> QECEGTRiGf1L $ " AMP 3ERVICE. �.Q PROGRESS EtVERGY Q `W:R.E;C.
<br /> t . , ,.
<br /> QPLUMBING ���
<br /> �
<br /> QMECHANICAL � � VACUi4TlON OF;MECFiANICAL INST'ALLATION �'y° .
<br /> ' , ��`��
<br /> QGAS Q RqQFiPtG Q SPEGIALIY [�;�_ ,:OTHER `�
<br /> FfNISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES. ,NO
<br /> eu��.��� ` � coM�ai�r, :' l �e. p<�n�',,y`
<br /> SIGN�►7URE REGI3TERED Y/ N FEE CURREF Y/N
<br /> Address � Ctcense# � ��
<br /> ; , , , . -
<br /> ECECTRICIAN: ,=COMPAtVY -
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� � Y/N
<br /> Address ` . � LEcense# �.! �
<br /> .., ... .,
<br /> PL.UMBER `, 1 , � , COtU9PANY �. � , ` '
<br /> SIGNATiJRE' ' , rtEGisTEReo � - .Y/:.N.� FEE.CURRE� Y/N � �
<br /> Address . ' , . _ _. , . :License#�- °�>- �,
<br /> _ , .f
<br /> illlECHANIGAl: COMPAFlY ' � . . _
<br /> SIGNATURE � � REGI37ERED,, Y/ N �� ,FEE CURRE�.. Y�%N
<br /> t .. . . . ._. . ,.,c..;;.., . ,
<br /> ;r..r I
<br /> Add�ess�- . , . � ` � . ` . " license#'� �
<br /> ; , . , < -
<br /> 07H6Ft �' � . ',COMPANY � '
<br /> SIGNATURE • • V � 'REGIS7ERED Y/ N.,;: VFEE CURRE� Y 7 N 'I
<br /> Addr��s � � ��. - � License# ��� � - .
<br /> • _.. ' .'i�..: :• . .^.. '. .' ..: . ., � ' ' �
<br /> RE3lpENT1A1:;�� =Attach'(2},Rtot�.Ptatis;(2)sets=of�Building�Plait`s,'(1}'sef of=Energy=Forins;R=O=W Feririit for nsw cxinsttuctibn,
<br /> Mlnlmum.ten;_(-10)tworktng days';after._;submlttal-date:';,�R'equlred onslte;C6n§trucdan`Flans;Stormwater`Plan's�w/Silt'Fence installed,
<br /> ' +� Sanl'tary Facllfties.:&:1 dumpste,r,_Slte�.Worlc;Permit far,sutidiyislons/large:projects` ` - � � ;' ` �
<br /> CO[�tMERC1AL Attach{3)eomplete sets ssf Biiltiiing Ptaiis pius a E.ife�Saf�ly Paga;(1)set of Energy Farnta.R t�-W Petmit for new construc�on. �=
<br /> Mlnimum ten(10)workfng days'after submlttal date. Requtred onsite,6anstrucdan Plans,Stormwater Plans w/Silt Fence fnstalled,
<br /> Sanitary FaciliHes&1 dumpster.Site Work Permlt for all new:�proJects:All comme�clal requlrements must meet compllanca
<br /> SlGN FERM11' Attac��{2}se#s of Eisglneered�P..laiis.. . ., . . � � .
<br /> '""'PROPERTY SURVEY requlred_for all_NEW constructian.. �
<br /> Dlraction�: `
<br /> Ftll out applicaUon completely.
<br /> Qwner 8�Contractor slgn back of appltca8on,notarized
<br /> 1f over�2500,a Nottcs of Commeneemen#Is requirad. (AlC apgrades over$7500) ,
<br /> .., .,,,.;, .
<br /> " Agent(for the ctintractor)'ar"Power of Attomey'(far th'e owner)would be someone with�notarized letter from owner authorizing same
<br /> dVER THE COUN'<EIt.REitMI'fTING �{Front of�AAPtica#iamflnly) - ,
<br /> Reroafs If shingles Sewers Servlce Upgrades /d/G Fences(Plot/Survey/Footage) ,
<br /> Drivswaya-Not aver Counter if on public roadways..needs ROW . � � ' ' � ' ��a , ,
<br /> n r.w.`.�r . '�.i.!'.. ��' . � � '.. , r e t + + f
<br /> • .. . . �r. , .
<br /> . ,� .J - . I. t . � l '. , ,�7�.� `; (', _ .,t. . ,
<br /> � i �w�i���. �'tJ. . � '" � . t � .' -� f ) ` � i. � .
<br />
|