Laserfiche WebLink
01.5-IOU-IJUZU City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received (Z?— Phone Contact for Permitting 777 -7 9\5� <br /> rrrrTrrTTr1�.....................................I .................. 33= ... <br /> Owner's Name Aml/24.5 Owner Phone Number 18's 'gra_ s <br /> Owner's Addressl A,T-,+ Z,-J- Owner Phone Number <br /> Fee Simple Titleholder Name rYV"-4L- Owner Phone Number <br /> Fee Simplid1itleholder Address <br /> A <br /> JOB ADDRESSI c cm4 � LOT# <br /> SUBDIVISION PARCEL ID#I - /3- Q1, -Z_1 - 00RC) - x0Co- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONISTR ADDIALT SIGN Q Q DEMOLISH <br /> e INSTALL LJ REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION - BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK q!A C) <br /> Ll I A) <br /> -BUILDING!IS IZE -$Of DOTAGE HEIGHT <br /> =BUILDING <br /> 1'.2, o0o VALUATION OF TOTAL CONSTRUCTION' <br /> ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS F -1 ROOFING CJ SPECIALTY [� OTHER 1eiviC#'Ovf <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> 11�� <br /> SIGNATURE REGISTERED YJ FEE CURREN LIL <br /> ress. D�qt N J <br /> Add License# <br /> C L <br /> t Z <br /> ELECTRICIAN <br /> COMPANY <br /> 'SIGNATURE REGISTERED I 'Y/ N - FEE CURREN- L..Y.!.N_j <br /> Addres's F_ License#'F— <br /> PLUMBER: <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N' , FEE CURREN <br /> -Addrqss License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address. License# <br /> ..OTHER,:-. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> RES116E`N7hAL A't'tap'h.('2),101oi.Plans,,(2)s6ts.of Building Plans;,(1, set of Energy,Forms;.R-6-W Permit forniew:construction, <br /> Minimum tofi"(-1'6�woiiin§:days after submittal idate: Required onsita,Construction'Plans';Stormwater Plans.*(Slit Fence I.nstilled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisi6ns/latge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum-tan(10)workingdays after submittal data..Required onsite,Construction Plans,$tormwater Plans w/Silt Fence installed, <br /> Sanitary-Facilities&I dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sats of Engineered Plans. <br /> ""PROPERTY:SURVEY required for all NEW construction. <br /> -----­-------- <br /> .Diri46tip n S. <br /> Fill out application completely. <br /> Owner&Contractor-sign.backof application,notarized <br /> Afover$2560iallotice of Commencement is required. (A/C upgrades over$7500) <br /> .Agent(fdfttie.cantrabtor-.or-Rower of Attome'y-(for the owner)would be someone with notarized letter from owner authorizing same "t <br /> GVER:THE:.-COUNTER kkMITtiNG,"-,(copy of contract required) <br /> Reibbfs'If sh <br /> ingles tewers-n-;.. %ekvl'6c'Upgrades A/C , Fences(PlottSurVey/Footage) <br /> .Driveways-Not over&Unter iioh:publiq.-'roa'"ft'd�s..rteeds ROW <br />