|
813-780-0020 City of Zephyrhills Permit'Application Fax-813-780-0021
<br /> Building.Department
<br /> Cate'eceived ma N
<br /> N" ;Phone,.C,ontact'.tor'Penntttin
<br /> r
<br /> ,:-Owner's.N:ame V
<br /> :Owned'Plion®Number°t.'
<br /> er's Address
<br /> Q f Oihrner Pborre Number
<br /> Vi rh►is I• 3'�? Owher;Phon®:Ni1i»!i®f`
<br /> ADbitESS; (�3
<br /> ,LOT' ;' .'.
<br /> 1 ..
<br /> "SUBDIVISION PARCEL ID#
<br /> ?(OBTAINED'_4(+MfQROPER71FaAX NOTICt)3 ;
<br /> �-WO IRROPO E t,....' _ -ADWALT',, =SIGN
<br /> RK• S D NEW:CON T•R" •r=DEMOLISH'
<br /> >- .:INSTALL. : ©/ :. •��:;,, Y ,.�.,'
<br /> : ♦`PAIR`' .
<br /> PROPOSED USE;.: :-SFR:.r:. . . ;:G.OMM; ' ::OTHER:: r"' , >
<br /> 0- 0.:
<br /> N TYPEE.OF CdNSYRUGTI — 'O BLOCK"
<br /> JDESCRIPTION OE.WORIG' J`G L(i'J a: �el SQ/ Q�4 , 1�` ;
<br /> 1
<br /> I = OBUILDING. ZI OTAGE;
<br /> -
<br /> LDING - - - .
<br /> BUI "'" "
<br /> ' $ VALUATION•;OF`TOTAL!CONST,RUCTION.:
<br /> 1 .
<br /> ELEC ;
<br /> TRICAL..,._ $, AMP'SERVICE DUKE';ENERGY':-
<br /> mPLUMBING:. $.
<br /> =MECHANICAL $• VALUATION-OF MECHANICAL 1NSYALtATIOP)
<br /> =GAS 0 ROOFING_i�� , ,_tSPEC.IA,L,T_Y, Q._- :OTHER _.
<br /> FINISHED-FLOOR,ELEVATIONS. '''i"° 'DYES NO•
<br /> BUILDER COMPANY.. -
<br /> SIGNATURE ` ,,.REGIS EKED: Y'/=N*'� F�ECWRREI�'rvr.r'F Y7I U'
<br /> Address"' uc:ense:#;
<br /> a
<br /> ELEC.T,RI.CIAN COMPANY;. , ,; -
<br /> 31GNATURE' : GISTii3€o ?.Y`/:N:::'': ::FEE CURREi�: '.''.:Y'/.' _.
<br /> D
<br /> ..Address• ' ''ticknse.#,`.: - � '
<br /> PLUMBER' ;COM ANY' `
<br /> �s: c
<br /> SIGNATURE `Ri' IsaEo:` Y%.N;', fEE,euRREn"'<;
<br /> Address: - a dbnse.
<br /> ' i
<br /> MECHANICAL. ;; `COMPANY' :
<br /> SIt3NATUREk: Y ,EGISTERED�.'' '=Y/�.N�-'" '"FEE�CURREk'"'''�•,
<br /> 77
<br /> Adarees:. ....:,..:... .n
<br /> ,
<br /> - '�:uce,.a-#;
<br /> -OTHER>•:- COM.PEWY
<br /> SIGNATURE'.. EC;1ST Y/k N;:.:, FEE,CURREN: ' h,
<br /> v,
<br /> R ERED: ;,
<br /> Address. License
<br /> l•' k 1
<br /> 4449,.
<br /> 4
<br /> _M1 ..1+.}Ar.i•K.." ,I� fit:.:"�:�5 4F.,,I ..
<br /> 'i r..u:....,>.•,'...:: :, .. _:.r.v;•e.;:4:i ..:.:;d .I:: ;..�=�'t,:•A :t::: ...,: ':,F;.:v'... '�.y',
<br /> _. C •n orhns?R-C�WsRe� o`one �coristiaictio
<br /> RESIDENTIAL •Attaoh';'� 1?lat-P,lans;,('2�ets�bf�ttlldin ;'j?!da'sy(;1):aatioftE,ergy., �}n:,[if.,I' ,v,V 1a,:�:t.;:�:�:�
<br /> .�.�.,4'n: ,.i+3.�..:K. - :'4".'�"F' :'rii::i: (_`a,v7J11�.. ry�.,. ^,=5:f1:tu .:.�J'%;Ya'Fe,.,.. bf"4-?:"=r' {.;:e:....�. "F^�;i•'^��:
<br /> kNllnlftiuni-ten:FtOjtorkiiig;ajrs aftcr`strb°fiittal:dafeR.' ire 'onsite icdoft Plans;'Cdnst/t StEorinth%atef'Pled's yi�r:Silt Fence fnstallsil""
<br /> Sanitary•:Facilities:8�:dumpster,Sifa'Wtirk PerrititTor:subdivfsfon3/letgeprojects
<br /> COMMERCIAL =)'setbf Energy.•Forms;R=O=W Permit:for,newccctttstruction;,_
<br /> M(ri(muff'tent'(1.a);woriiing da after tiiiilttai'dete` t eq re�irQ;nsite Construction F!jpRst Ormweter;Plans w.'I fit;FenCe iistalled;
<br /> Sanitary'FaCiltt�es&laiurtlp [ r Sife'' ork�ermil fog all new:projects:Al(commer6Wuequtreinents muift meet com_plfance
<br /> SIGN PERMIT" Attach(2)�b&Wof,.E PlanS; t;'c,;' '•:.z •-;;_-' .
<br /> PROPERTY,$,iJSR/EY:'required for alr NEW cbfisfruction.
<br /> Directions:
<br /> Fill out application completely.
<br /> Owner,,&ConfYvctor�tgn;�a;k:of application;notarized
<br /> -if overS2500;a'.Notiee,of Corrimencament,Is required. :(A/C upgr des.over.S7500)
<br /> Agent(for-the:contractor)zor.-Power:of?Attorney„�(for:the-owner)would tie"someone.with nottiHzed;lettet from:bvime"uthoii:dhg"same
<br /> OVER:TyE".COUNTER?PERMITTING.:: ,:.,(copy,oE.codtriBcfirequired)
<br /> Reroofs if shingles Sewers Service Uoi radds AIC ,'FencesjkbUSuivey/Footage)
<br /> Driveways=Not over Counter if on.public roadways..needs ROW
<br />
|