My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
21-1395
Zephyrhills
>
Building Department
>
Permits
>
2021
>
21-1395
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/9/2022 7:08:48 AM
Creation date
5/9/2022 7:08:47 AM
Metadata
Fields
Template:
Building Department
Building Department - Doc Type
Permit
Permit #
21-1395
Building Department - Name
TRUONG,DAVID
Address
4916 4918 9TH ST
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
s 813-780-0020 City of Zephyrhills Permit Application FaX als Sao 0021 <br /> Building Department ��✓ ��� <br /> Date Received Phone Contact for Permitting <br /> aaaItaaaa tv Owners Name / °t v Owner Phone Number / 7 y <br /> Owners Address 1 I�� , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address //' <br /> JOB ADDRESS i I F(_ LOT# <br /> SUBDMSION C'cS • PAbRCELID# G.�'� V (Q " Co <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 0 — t <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> c e rz-rrrr rcrrc-rc-rrr�x-s-c-c x-�-s-r rrrrc-rccrc-c-c-c-� <br /> =BUILDING $ kNo VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ l� AMP SERVICE Q PROGRESS ENERGY Q W.FLE.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS [�Rr ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE E REGISTERED I QO/N FEE CURRENNnnY/N 11 <br /> Address License# <br /> a1t11111a1a11a.aaaaaelal �aaalal a[all 11a111a1a111at1a11a/tllaaaisonat <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,Constriction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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,Stornwater Plans w/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 all 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.(AfC 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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
The URL can be used to link to this page
Your browser does not support the video tag.