Laserfiche WebLink
813-780-0020 City of Zephyr-hills �prmit Application Fax-813.780.0021 <br /> Building De rtment` <br /> Date Received <br /> •:Phone,Contact.for P.er itting:, Aaw <br /> Owner's Name .J�h l e� fc� �F` owner.Phone:Numbar. .3 <br /> Owner's Address ive7a 7_ .OwnertPhone Number, <br /> (- <br /> )'�. (` li Owner Phone <br /> }}-. •Number <br /> J0WADDRESS � /.:(?. � S Q- �, � :'�- LOT III <br /> 11.18DIVI$ION -4 Y" 44gAo, <br /> ,. 3 PARCEL ID# r t301Do 7 <br /> Y, j '(o6TAINED PROM PROPERTY TAX NOTICE).:..°. <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN. :,DEMOLISH <br /> H . INSTALL'' R REPAIR <br /> t PROPOSED•USE Q' SFR 0: COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q (^FRAME STEEL ~0 <br /> DESCRIPTION,OF WORK VJel <br /> ) <br /> BUILDING SIZE I O X �. SQ FOOTAGE TCJ HEIGHT-f <br /> =BUILDING r VALUATION OF TOTAL ONSTRUCTtOIY <br /> =ELECTRICAL $ AMP-SERVICE Q DUKE ENERGY = W.R.E;C.. <br /> =PL'UMBING $ <br /> =MECHANICAL $ VALUATiON•OF MECH .lCAL:INSTALLATION -r' <br /> . c <br /> =GAS = ROOFING ;0. SPECIALTY Q OTHEi2 <br /> FINISHED-FLOOR ELEVATIONS FLOOP ZONE AREA =YES NO <br /> BUILDER ) ) COMPANY P't'�_ C)r.-)til , <br /> SIGNATURE (jj i/ { REGISTERED F N '' PEE CURREh LKLN <br /> Address :Ucense"#'I 1 . <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED "Y/'M"' FEE GURREK LY/N <br /> Address License* i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED UY Ii.N.: 'PEEdukkEt+•= Y'/`N' <br /> Address License:# . <br /> 77 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED jj Y VN FEE,.CURREh '• .Y/N <br /> Address' License,#,T <br /> OTHER COMPANY <br /> SIGNATURE' REGISTERED I J`Y/-N 'l FEE"CURREN LILN " <br /> Address 71 License`#•�� <br /> RESIDENTIAL Attacti`(2).Plot;Plans;;(2),sets.,of-BulIdIigrPlans,z(4,s0cf!,9h rgy.Formst�-0=1M_Paiaefo new'construction; <br /> Minimum ten(10),working iiSysafter•submlttal date.'Requlred onsite,Canstructlon Plans,StDrmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit far subdivisions/large p jects <br /> COMMERCIAL Attach,(2).complete sets•of-Building Plans;plas a Life�.Safety Page;(1)set -Energy R- <br /> ..Forms. O=W-Permit;for new construction.. <br /> Minimum-ten(!0}Working`days;after,'submitGai date.;Requlied onsite,Con truction Plans.StcrmwsterPtans w/Silt Fence installed; <br /> SanitaryFacilities&-1•.dumpster,Site"Work-Pemiit for all new projects.All mmerdal.requirements inust•meet.compllance <br /> SIGN PERMIT Attach(2)se of E091neered Plans. <br /> ""PROPERTIf'SURVEY required-for all NEW.bonstruction,-; <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. (AIC upgrades:over,$7500) <br /> " Agent(for the contractor)or Power of-Attorney(for the owner)would be someone with nota'zed letter from owner authorizing same <br /> OVER THE-COUNTER'PERMITTING y `(copy of contract required] <br /> Rercofs if shingles Sewers Service U0grades,AtC Fences(Plot/Survey/Footage <br /> Driveways-Not over Counter'if'on"pufiltc,roadways..needs ROW <br />