Laserfiche WebLink
e1s-7so ooze City of Zephyrhills Permit Application Fex-813a80-0021 <br /> Building Department I + <br /> Data Received .Phone lContact for Permitting` — <br /> Owner's Name t e0e Owner Phone Numb <br /> i <br /> Owneeb Address Owner Phone Number <br /> i I <br /> Fee SinrplsITltieholder Name Owner Phone Number <br /> Fee Simple,Ttit®hoiderAddress <br /> JOB ADDRESS LOT LOT <br /> SUBDIVI$I�N PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE)- <br /> WORK PROPOSED NEWCONSTR' ADD/ALT = SIGN = = DEMOLISH <br /> 1 B INSTALL e REPAIR <br /> PROPOSED'USE _ SFR 0 COMM Q OTHER - <br /> TYPE'OF CONSTRUCTION = BLOCK [] FRAME = STEEL Q <br /> 1 <br /> DESCRIPTION OF WORK `� O r6 r�C.-� d �TOC��- <br /> BUILDING lIIIME SG FOOTAGE�• HEICrFfT •� <br /> =BUILDING $ Imp C+O VALUATION•OF TOTAL coNsTRUCT16N <br /> =.IL-EOTRICAL $ AMP SERVICE [] PROGRESS ENERGY Q W.R,E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Ek <br /> :BUILDER COMPANY �W ✓- <br /> SIGNATU GISTERED I Y7 N I FEE CURREf, Y/N <br /> Address C. (1`, License'# <br /> r. I <br /> {ELE a.WC,� h, COMPANY I <br /> SIGNATUR! REGISTERED Y/N FEE'Ct1RREI+ <br /> Address License# <br /> r <br /> P.L bE -I., WC PANY <br /> •SIG . �lE -REGISTERED Y/•N." - FEE CURREK <br /> Add" License#'- <br /> I ^'.MECHANICAL COMRAN,y <br /> SIGNATURE' REGISTERED YIN i TE6cumip <br /> YIN <br /> E... I <br /> COMPANY _ <br /> ,"tIGNM, REAj,:+ REdIST'&RED 1.Y/.N FEE CURRM Y./N <br /> Addresrw ,: �. License# i <br /> '�:t}Es(otaft�l7y.wr (mcfYJEaYFISEPi Wiriasti oT'B�i�ihr�g Nan§(•pseicifnerg`yr�Fgiins Ii 1�V.Pei�tlliiQrneryoorlstrucq�n: <br /> imurtrytem(A(�siyoNlfn§iday after sutififttal ate.lRequlfeif frinslt§�Censtru�gon Plaits;Stc(mt4ater Mans w!Sut Fence Installed, <br /> Ssr11f F dgti®ai8tlkdumpster; l tVyodcP§Linitforsybtllvisions/ftr protect§ , <br /> CO(t)NIERCIAL "Attadr(2)'65mT60e i;ets 161`05-11 ling Miens plus a I1fe Safety Page;(1)set of Energy Forms.R-O-W Permlt for'new construction. <br /> Minimum ten(10)working days after submltW date. Required onsits,Construction Plans,Stonnwater Plans w/S6t Fence installed, <br /> ` Sanitary tacT s&1 dumpster,Site. ['enniYfoi�ll nampiolbats.Ali commercial regldremeft.myst meet comRllagce <br /> WIT-PERMIT At&W(2)sets;Qf;Engirieered'P.lans::,-.., <br /> ""PROPERTY SURVEY lepylrgd focall.NEW construction. <br /> -Woutapplkation completely. <br /> 2 Qiyger 8•Contractor sign back of appikation,notedmd <br /> -If over'=O.a Notlbo.of-Commencoment Is required. (A/C upgrades over$7500) <br /> theeontfectorpor•Power'ef Attomey(fcr'ttie owner)would lie someone with notarized letter from owner authorWng same <br /> r,.OVERsTHE:C01f_..ERY NQ .(copyofconbact squired) <br /> 'FtemWlfsFiingfEs Sdwers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roseways,A66 ROW " <br />