Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department I <br /> Date Received S 2 �.,_ 5Z 26 3 - 7 S b 6 <br /> Phone Contact for Permitting p / <br /> Owner's Name t'>D (✓ a twl S Owner Phone Number O d b C7 <br /> Owner's Address Lf Of 3 Chah G/P Owner Phone Number <br /> /�C -/j i 11 32 SID Owner Phone Number <br /> JOB ADDRESS Lio 13 q 14/4 Ce hE.,/- G! LOT# <br /> SUBDIVISION PARCEL ID# "�� Z,Z `oaoo-an4oa-06 !(7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q- FRAME = STEEL 0 <br /> DESCRIPTION OF WORK J�Jew 2 , 1 P L1/ CqrjODr4 <br /> BUILDING SIZE 2 r Z 4 SQ FOOTAGE 57� HEIGHT <br /> =BUILDING $�2 ` VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ l AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ' =GAS = ROOFING Q SPECIALTY = OTHER <br /> *INISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �� COMPANY P- Ge el 4ee- Cc m s' C- <br /> SIGNATURE / REGISTERED N FEE CURREN Y/N <br /> Address a /Zd/ Sc{ 'Tlf A/p License# Qo a V V 9/1 <br /> ELECTRICIAN '(�1/ i� COMPANY /r <br /> SIGNATURE 7 REGISTERED Y/ N FEE CURREN Y/N <br /> Address 71YI 0eny M vrA d t f ft License# We DOD Z 57(7 <br /> PLUMBER COMPANY <br /> SIGNATURE /"/ REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL / / /]� COMPANY <br /> SIGNATURE /V /I REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY "/ e �`GR401" Cg'A zA L <br /> SIGNATURE REGISTERED ICX2N FEE CURREN /N <br /> /� <br /> Address T Df 335� License# x/e 0&q q r!8 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&-Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney,(for the owner).woyld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING :. ` :-(copy of.contract required) <br /> Reroofs if shingles Sewers iService;Upgtades='A/C :,:;::fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public'roadways:.needs`ROW" <br />