|
813-780-0020 City of Zephyrhills Permit Application Fax-813-7eo-o021
<br /> Building Department.
<br /> �n';%R;ec','olv4d
<br /> M. .Phone.Contact for Permittin
<br /> ': •.
<br /> •Ownees:Name- ,..J lGt . GVL1/ - .s r' Qwner.Phon k6niber
<br /> k ,_oO neesAddress �3.��t! .�RG . , �!v Owner'PhoneNumbw, .
<br /> GCR#Y4140/WA AL 33�1 Owner;Phorre'Nurnber
<br /> "JOB ADDRESS: 347 lO G . L Ave .:..-.:LoT'#
<br /> SUBDIVISION Id�YI .EF/C[ i K J•� PARCELlQ#
<br /> ,JOBTAINED FROM PROPERTY 7Ax J3QTICE)'-'
<br /> WORK PROP-,OSED'... -` NEW CONSTR ADD/ALT. ,DEMOLISH':
<br /> ... . _ . . iNSTALL. .. �,::; -RE!?AIR ... ,.- ..
<br /> PROPOSED USE; [ SFR []. --COMM .OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK :Q; FRAME>:: � `,e�STEEL
<br /> °DESCRIPT.lOh!OF..WORK ��P .4(� IA&00MV&r1 �1�C7?lrCstC A7V+' C U AIM -
<br /> ,BUILDING.SIZE ! SQ�FOOTAGE.C� HElGHT.:• .
<br /> ' BUILDING'' $
<br /> 0 VALUATION OF`TOTAL CONSTRUCTION
<br /> ti
<br /> LECTRI,CAI.. e h
<br /> - r/ $, / "0 AMP'SERVICE DUKE.ENERGY`: C] :W.R;E.C.
<br /> QMECHANICAL $ VALUATION OF MECHANICAL:''INSTALLATION "
<br /> 1 .
<br /> [ GAS 0' ROOFING [� .SPECIALTY.��. OTHER
<br /> FINISHED FLOOR-ELEVATIONS FLgOI1,ZONE AREA YES NO
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERED Y/-N,•- :FEE CURRER:.-
<br /> Addres's` License#.
<br /> ELECTRICIAN � v� G COMPANY HdYI�/ ��i'c�77'ZdC ��� C�TIG'/C LL
<br /> SIGNATURE REGISTEREd Y7
<br /> Address ticonse
<br /> PLUMBER COMPANY-'::
<br /> SIGNATURE •Ri6isrEREo Y I=I+l x-FEI_GURRF.�.:
<br /> Address: License:#
<br /> MECHANICAL. COMPANY'
<br /> SIGNATURE'': REGISTERED::- Y p N : : •FEE'CfARRE&"`: '''..Y PN
<br /> Address,:
<br /> OTHER:. . COMPANy;
<br /> SIGNATURE RI:GtstERED ?Y7;N;•,.: FEE,CURREi:• <Yl,N•.+
<br /> Address
<br /> •
<br /> R e n
<br /> p.. a f'Su(di Pains' 1 sefbf:Ener `Form§ R-O=1N erriii .fora w'co stfuction';
<br /> RESIDENTIAL' Attach;O lot;Plans;<.(2),"�.ts'd, f;ijg [, ,{._). ,,.9Y ;. � Fes., .., _
<br /> Minlaium teri(10)working days after sUb'rFiltta!`date R gLisetl onsite' onsli iction,Flans;S�ormwater Plahs';w/.Stlt:Fence'irisfalied.
<br /> Sanitary:F:tcilities.k-1.4umpster,"pife WorkiPehhlt-ftir sutidivi'sibnsllarge•pro)ects
<br /> COMMERCIAL :Attach.(2.)complete;sets•o1•,Building.Plansoplus:a�Life•Safety.Page;•(I�)':set.bf,Energy,Forms::R-0-W Permit for,new,ophstruction.
<br /> Minimum ten:y(10hwockirig day aftersubitiittal:da(e:,;R`,6ire#d onsite;:Constti cttbri;P(ans Stormwateir Pians w!_SI1tFeiice instalied,''
<br /> s#
<br /> Sanitary Facilities&,'l;dura;fpst r.,Slfe WOW-0riii;it far 8tl new"projects:All commerctal.regoirements must meet compliance'.
<br /> SIGN PERMIT Attach(2)sets:of-Engineered Plans,; :.`., :•::., ,,
<br /> "'PROPER'tY:SQjFiW1.-requltdd for all NEW Wfistruction.
<br /> ._�. ....
<br /> Directions:
<br /> .Fill out application completely.
<br /> Ownar8s Gontrector sign,bactc af..application,notarized
<br /> 'If over S2501);a_kottr e.of Comm®nceme.nt is r®qulred.' (AIC upgrgdes.over$7500)
<br /> Agent(for the•contractot)or�Poieree 6f At6niay,{for:the`,,6ikiher):would'be someone with notarized-letter from:owner-authoi lung`same
<br /> OVER THE'COUNTER-P..ERMITTING,: ; ;(copy;of' itra4required).
<br /> rades:'.r4lG,`; Fences PlotlSurveylFoctage)
<br /> Reroofs if sliingfes Sewers Serviee:U}ig';.,
<br /> Driveways=Not over Counter if on,pubiicJroadways..needs ROW
<br />
|