Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application ?PJ'1r1J& 1 <br /> Building Department <br /> ;nvv <br /> Date Received <br /> I -2 0 2-k Phone Contact for Permitting F( 8 2- 0 Ct Z 0 <br /> ................. ................ ................ ........ <br /> A -17 3- -7 371 <br /> Owners Name WAk iaf�t� Owner Phone Number <br /> Owner's Address -7002- _G(4- V%ir%CA Owner Phone Number F <br /> Fee Simple Titleholder Name F_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F—3"t 0_arAu_�Lo� AV I r__RUI- LOT# <br /> SUBDIVISION F PARCEL ID# 1 :3 -21(a -21 0100 -00000 - 0 1 ((3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8AD6/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Comm Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK F im�c ro C->P- I 15 01C?L1 1 , <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> 4444- <br /> =BUILDING 00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS EX ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES' NO <br /> ........... <br /> : <br /> BUILDER COMPANY <br /> SIGNATURE :REGISTERED --FEE CURREIA <br /> 9 t4vq /I <br /> Address Ga-1 l %,Llcense# 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURk REGISTERED Y./ N I FEE CURREN L_y LN,J <br /> Address License'O <br /> P,LU MBER COMPANY <br /> SIGNATURE REGISTERED *EECURREI, <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1-- Y4'N.-J" ;FEE cuRREN' <br /> Address -License# F <br /> .1 -1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/-W FEE CURREN <br /> Address Llcense4F <br /> M41HIHit+ <br /> RESIDENTIAL Attach(2):Plot Plans;-(2),seti.of Building Plans;(1):set of.Energy Forms;R-O-W.Permit-for new construction, <br /> Minimum'ten'(10)working'days'aftdr submittal*diite."Requirdd*onsite,Construction Plans,8formwater Plans:wf Slit Fence installed, <br /> —Sanitary Facilities-&1-du p m ster:-Site-Work Permit for�qqr bdivilsiOnstlarge pr <br /> ojects___ <br /> 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)woiking days after Submittal date: Required.onsite,Construction Plans,Stormwater Plans W1 Silt Fence installed, <br /> Sanitary Facilities&I 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 all NEW construction. <br /> ...annom MENNEN 1 0 M MEN Emono Eno 1001MV111111111 <br /> ----- ....................................... -----1--1-----_--- <br /> Directions: <br /> g 1 <br /> Fill out application completely. <br /> Owner&Contractortign.,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 Sbwers Service.Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewayi-Not over Counter if on public roadways..needs ROW <br />