Laserfiche WebLink
U 5 '., Ir 1L.0 v yiv—I <br /> 813-780-MO City of Zephyrbills Permit Application Fax-813-71IM21 <br /> Building Department <br /> Onto Recal-d <br /> Phone Contact for Permitting =96 <br /> Owner's Name Owner Phone Numb 1 FI-5-76 Z9 a- <br /> owns (4 lap, lgee— Ctl(U-te- Owner Phone Number <br /> d— <br /> es A'do F"Simpl6a Tffleholda Name Owner Phone Number <br /> I —a F"Simple TitleholideAddrsts,, <br /> JOB ADDRESS LOT# <br /> SUBDMSION PARCEL IDIIII <br /> (OBTAINED FROM PROPOMTAX MMCE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN r7 DEMOLISH <br /> 'Loa <br /> 13 NEW <br /> INSTALL Lj REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER I 4 <br /> TYPE OF 0ONSWMTRU ON BLOCK FRAME Q STEEL C_ <br /> DEaCRHMON OF w RK rM—C— el.-( !.v TZ p ;PT I <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> MIT, <br /> UILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> r—IELECTRIC AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> .- - - <br /> =PLUMBING 1$ <br /> MECHANIC 1$ tol On VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR E ATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREK L_XLN_j <br /> Address License OF <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRM LX.LNJ <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN L—�—N <br /> Address I u,.# <br /> MECHANICAL <br /> COMPANY I 3eevices <br /> SIGNATURE I YIN FEE CURREn I YJN <br /> Address i c) �e- License#I a acjy <br /> OTHER: COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREK I Y/N <br /> Address U.#I <br /> 1 1-1-1 TT'll F I I 1 11 -1 TI-11-11-11 VT 1 1-11-11-IrTi 111-1-1 <br /> RESIDENTIAL A"(2)Plot Plans;(2)sets of Building Plans,(1)ad of Energy Forms;R-O-W Permit for now construction,16 Fm 5 Ff W(i 0 Y—w&0 Wc Wi 0 r u biffin WW dad:R i 40 li W id—wW ff.-C&ft V-c W P I I i If W,- Phma-WI31111'ervicalrudalled, <br /> harry Facifilles 81 clumpster,Site We*Permit for aubdIvIslonallarge Projects <br /> C"MtRCM (3)complete sets of Building Plans plus a Life,So"Page:(1)M of Energy Forms.R-O.W Permit for now construction. <br /> Inimum ton(10)working days after submittal date. Required onsita,Construction Plans,Stormw2ter Plane w/Bill Fence Installed, <br /> fY Facilities&1 dumpstar.Site Work Permit for all now projects.All commercial teciulremords must meet compliance <br /> SIGN PERMIT (2)sets of Engineered Plane. <br /> PROPERTY SURVEY required for all NEW construction. <br /> — 1121 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> DIrecdo": - - - - - - <br /> FlIj out appli completely. <br /> Owner& dor sign back of application,notattzed <br /> lf*VW$2=, 'NoticeafCorremencerruedissquired. WC upgrades over$7500) <br /> N <br /> Agent(for the tractor)or Power of Attorney(forthe owner)would be someone with notarized letter from owner authorizing same <br /> 0 )1 <br /> OVER THE COU PERMInTINa (Front of Application only) <br /> as <br /> Remote If shingles Sewers SeMce Upgrades A/C Fences(Plot/Sur-MY]F004800) <br /> G', <br /> DYNOWSys-N over Counter Hon public roadways-needs ROW <br />