Laserfiche WebLink
813-780.0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Owners Name ffi Owner Phone Number - �r�, <br /> ? �. ; <br /> Owners Address , l(QI& �,t>ZS' BI-Vii 1, Owner-Phone Number <br /> Fee Simple Titleholder Name ' `t' Owner Phone Number 1 I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS ' i 11S L LOT# <br /> SUBDIVISION T_o i �f - S 1 `.. ., PARCEL.IDlab <br /> (OWNNED FROhr PROPERTYTAXNOTICE): <br /> WORK PROPOSED NEW COMM.` ' ADDlALT" SIGN` -[� DEMOLISH. <br /> INSTALL . . REPAIR , <br /> PROPOSEQ:USE, . ��.` .'SFR { ,�" ° COMM' :.; ��' f)THE lit. <br /> . <br /> TYPE OF CONSTRUCTION `BLOCK`•'f FRAME STEEL. .' <br /> DESCRIPTION OF WORK jc5 n YlG7 l l` , <br /> BUILDING SIZE .SQ FOOTAGE <br /> =' <br /> [BUILDING <br /> L VALUAT1ON` F`I'IOfiAL COMS'i itlfdTiON <br /> =ELECT'RICAL $ AMP.SERVICE PROGRESS ENERGY © W.R.E:C. . <br /> OPLUMBING . . <br /> =MECHANICAL.'. VALUATION OF MECHANICAL INSTALLATION, - <br /> =GAS 'ROOFING .�- SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS rr FLOOD ZONE AREA; [ YES NO <br /> -BUILDEI — - - -- ------- COMPANY :. <br /> SIGNATURE REGISTERED. . Y/ N FEE CtJ(R'REE,h Y!N,- <br /> Address 'Ucarise# [ i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/.N "• FEE CpRkEEN <br /> Address fi Ucense#•i I <br /> PLUMBER i COMPANY. , <br /> SIGNATURE 1.-: , RaGIstERaa. Y!.N FEE ouRREr: /N - .: <br /> Address" License# <br /> MECHAIxicaL ` A co IPJ r <br /> SIGNATURE REGISTERED <br /> N. FEE cum <br /> f'• <br /> Address i.ICense#.1. t <br /> --•. '`� <br /> ���" �`7t t77, <br /> n. <br /> OTHER: - . ao pANx � ` "o. . . L . <br /> SIGNATURE-. / REGISTERED N_::" _. FEE 4uilm Y,/:W <br /> Address �� c�Gt �� = Ucerise#1 <br /> RESIDENTIAL: Atta'cti•2.PIotP..iaits:2 :se#s=af Su11t1rip Plans,{1}_set of En_ Ftii»}s RAW Psrn'it.fcr new;constructrt,.. , <br /> Mtntmuit r{1 )vtrar[ttng;tlaysFaifi !subfinitta{=det®::Riiqufrett orisite;?c6hait icUon <br /> m Pieria;Storrt%watei'Pians w/Slit Fence tnstatted, <br /> Seniiairy;Eecil�fse&;&1;, ppster;Site4Worlc PemtiE:for;stlhidivial��ins/)arge prgJedb'-: E: ` "... ` ' <br /> COMMERCIAL Attach{3pooiriptete sate of Bi`Ii�Eding-PIMs plus a Ufa Safety Bags.(I)set ot.Energy.Forms.R-O-W PennWfornew cansW;#on: <br /> Minimum ten(10)Walrkirtg Jaya aftertsubmittel date. Requtred,onsite,Construction Plans,Storrnwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&;1 dumpster,Site Work Permit forgIlnaiviprojdft.All oommerclal;requlrements must meet compliance <br /> SIGN PERMIT AZc (2}sets of F:crglrjei ed"Pians <br /> •"'PROPERTY SItRV1!:rerqulretd tcfall NEW ConstrucUcn.. <br /> Directions: - <br /> Fiii out application completely, <br /> Owner S Contractor sign back of application,notarized <br /> If over S25111),a_Notice,of"Commoncement is required.._-(A(C up <br /> (Irades over$7500) <br /> Agent(for the oontraokor)or:POWer=of Attom®y(for the owner)would be.someone with notarized letter from owner authorizing some <br /> '0VERTHECOUNTEWPERMITTING... - .,(Front-of Appitcationonly) <br /> Remofs N shingles Sewers Sendce Upgrades A/C. - Fences"(Plot/Survey/Footag®) <br /> Driveways-Not over"Counter If on public roadways.:needs ROW <br />