|
813asaoazo City of Zephyrhills Permit Application Fax 813-780•002�
<br /> Butiding Dapartmsnt �`
<br /> Date Recelved f , phane�Cantact for=FernilttFn (
<br /> �• , _
<br /> Owner's Name j � Owner Phone Number �/� ���`Oz-� ;
<br /> Owner's Address �����iG�,G��r�"'� Owner Phane Number �— .� ;
<br /> � � �
<br /> Fee Slmple TItleFiolder Name � • � Owner Phane Number ,
<br /> Fee Simple Titleholder Address
<br /> JOS ADDREBS � �f . C� �
<br /> LOT#
<br /> SUBDIVIStON �� � PARCEL ID# - �
<br /> S ° , (OBTAINED F.ROM PROPER7YTAX NOTICE)
<br /> WORlC PROPOSED NEw CON5TR ADDJAl.T C�� StGN' Q [� DEMOUSH
<br /> ° INSTALL B . REPAIR �
<br /> i
<br /> PROPOSED;�USE � $FB- [� COMM Q QTliER , .
<br /> TYPE OF CONSTRUC170N � � BLOCK ' 'Q FRAME � STEEG Q
<br /> �
<br /> DESCRIPTtCIN OF WORK - ��C,��-4?.ill�-.� G'��C. /'7�'
<br /> ; . .
<br /> Btl1LDING SIZE C� _��SQ,FOOTAGE��, .. ,H�IGHT�+�--_-_`�� „
<br /> ������./INV � ii� � �� � �^ �� " • • �
<br /> $ �tc�Q26> . VALt�ATtOhI'OF TO'fAL CON5TRIJG'i'tON
<br /> QEf.ECTRIGAI ' #$ " � AMP SEFZVICE Q �RF2tUGRESS ENERGY Q W:R.E.C.
<br /> r �.�.
<br /> [�PLtJMBfNG° ;�� ' /1M �j'..
<br /> ; � �j 1�,r... �
<br /> � � . ( �
<br /> QMECHANlCAL $ � VA4:UATION OF MECHANiCAG INSTALLATlON
<br /> s ' � ` ' �
<br /> ��S C] ROOFlNG ;Q SPECIA�.'FY � OTHER�, .
<br /> FINISHED FLOOR ELEVATIONS r�� FLOOD ZONE AREA [�Y�S ,NO
<br /> ' L
<br /> F -
<br /> P���VGIt ` ���i� YLM�I'{l11"� � - ` `
<br /> S{GNA►7tDRE � `� REGISTERED Y/ N . �e cuRitEn � Y/N'.
<br /> Addres`s Ltcense'#'� �
<br /> �� , �
<br /> ELECTRfClANr • � COMPAFIY ' �
<br /> StGNATURE � REGISTERED Y/ N FEE CURRE�`" ' "=Y/N '
<br /> Addres� , , . License# �. _- ' � �
<br /> PLUNIBER ' : COMP,,.ANY<• -, - � I
<br /> SIGNATURE' � " . .REGISTERED. , Y1.N.� �� -+;FEE CURREP ' Y=/N. : �
<br /> f - . �, _ ... .. .
<br /> ��(@S$ � ' - . � °�-� ; , , '. . -. , , 'i'` ., � . . . . . ;� ,
<br /> � .�iC8tiS8,#
<br /> ' _ ._:
<br /> f ,
<br /> MECNANlGAI: � GO(NPANY, -� , �f.. , . : � ' .
<br /> SIGNATURE � ' REGI'57ERED,, . Y 1,N. : ,FEE CURRE��� Xa./N - • I
<br /> <.r: „ __ �.. , ,
<br /> Addre�'s' ' � " . >. . ;�. . , x;: _ '. �� � I
<br /> ,i , • „ . „ „ ., , • License# �
<br /> ,,, .. . .. _
<br /> C?3HER '. - . - � ' ,.COIUlPi4AtY` �, , � .
<br /> SIGNA'TURE ,.':�: . " � � '. � = , �,,, REGISTERED ' Y/ N :-' FeE cu�n. , Y/N
<br /> . •s
<br /> Address .` , , ` � . ' Ll�cense#•�� . �` .
<br /> �,�,,- � � , .
<br /> - -l3ESFDEMTlAl:,,;: ..Attactii{2)PlottP,lans;:.(2}setc;tif=Builiiing�Plaits;(1)sef of=Eriergy�Fo�'s;�F�=O=W'Perrrilt for oew canstrticUon, • " ` _ -
<br /> -� ..� �Mtnimum,ten�(�10);woricing}days;after;:subiniftal date::_Requireil onsite,cConstiiicHon Flans,�Stonnwater Plans-w/Silt'Fence installetl,
<br /> : .. �Sanitary�Fac�liyes;&;,1;;dumpster�SlRe�Woric,;Permit�for sutidivisionsparge.project'sf�,y_ ,::::: ' � -� : ' ; ' :• = , � �
<br /> COMMERCIAL Attach(3)�compiete�se#'s'of�Buftiifrig Plaiis`pius"a�Cife`Safefp�Page;(1}set af Energy Farnts.R tt-W Permlt for aew consUuc�on.
<br /> Minimum ten(10)working days after submlttal da#e. Requtred onsite,Canstruc8on Plane,Stortnwater Plans w/Siit Fence installed,
<br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new;proj`ects..All commercial requirements,must meet camplianca �
<br /> S1GN P�RMlT Attacf�{2}sets of Eriglneei�ed%Plans:{ --.-..� �' , �. � - -
<br /> ""PROPERIY SURVEY reguired,for a,ll NEW,cpnstrucUan.. �
<br /> Dtrection�: , � ,. . � �
<br /> FiD out applicadon completely.
<br /> Owner&Cantractor sign back of appllcatlon,notarized
<br /> Ff ovsr�2500,a Notice of Comca�encernent 1�requiced. {A/C apgrat#es over�i500)
<br /> .. ,...�,;;_, . . .. _
<br /> Agent(for the�contraotor)'or Power of Attomey�(fo��tFie owner)would be someane with notarized letter from owner autho�izfng same
<br /> OV�R�'HE C011NTER,i�!ERMI?"i1NG - {Frant of=APP4tcation Oniyj�- , . � . ,
<br /> Reroofs if shingles Sewers Service Upgradss A/C Fences(Plat/Survey/Footage)
<br /> � . ._ . - . . ..'�•�
<br /> Drivewaya-Not over Gaunter�f on pu6lic.toadyra}rs..rieeds ROW� -. - -- ..,. :.:_. ,.,,. _ .,
<br /> 1�� � �i;�l ..„ ;? ' "�. , � �. _. .. .. . ......... . . , ,
<br /> ^ .- . �.t-F 4',°', ..�. ' . „-. .. " ,. -,-. .. '
<br /> �$ ' ..,.�� �„+e:'{f;• ''? 't�, . , . �7 t....__.1 .,. . ' : � ' , ..
<br /> � .-- . t �. .. �- � . � , , p. ._ . , _ , ��. ,
<br /> .. .,,--� �- -_.�..r �.e..�-� _... � .. .. i.. _,.._.. . . :�_ _._�. r , -
<br /> � "
<br />
|