Laserfiche WebLink
1­_VV4V City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building,Department <br /> Date Received 1?_CAUC'�Ot CIO M <br /> Phone Contact for Permitting <br /> . . . . ... . . . . . . . . . . . <br /> 40 <br /> Owner's Name CAT" Owner Phone Number <br /> rx <br /> Owner's Address J.e co Do-DK 3(Ji, � Owner Phone Number <br /> *Fee Simple Titleholder Name -sn,w—Le— - - Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS EL3 LOT# <br /> In o - <br /> SUBDIVISION PARCEL ID aw- ad oa-I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME -STEEL <br /> DESCRIPTION OF WORK N t4 ne's-,18inc-f- <br /> BUILDING SIZE F SQ FOOTAGE o_7&HEIGHT 71 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> AM SERVICE ENERGY W.R.E.C. <br /> =ELECTRICAL $ PROGRESS <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 0 6-7 FLOOD ZONE AREA DYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEEt GURREi jjN__J <br /> Address (0O C&n :D License# ill �2 <br /> ELECTRICIAN la tv, COMPANY 8P Elecf-6 C <br /> SIGNATURE REGISTERED Y/ N ' FffCORREN L�L�N <br /> Address 4 Jbhla� NW9 zco�ond License# [ET S 0 63-:� <br /> PLUMBER � COMPANY uk-- <br /> SIGNATURE REGISTERED I Y/ N 'FEE CUkR1tN Address Rrm PZ11 TZ License# C FIC 69 <br /> MECHANICAL COMPANY roqtv .I%Je- A-1-Ir <br /> SIGNATURE REGISTERED "(/*N FEE CURREN _tLy/N_J <br /> Address ct License# CAC633 �� i <br /> C <br /> OTHER COMPANY C?) -D)2uld P ii A <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN y LN <br /> Address RN3 '3�65nl License# 1032 133 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> --Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach-(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wt Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW construction. <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. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> .7� <br />