Laserfiche WebLink
' J J�� Fax-813-780-0021 <br /> ' 813-780-0020 City of Zephyrhills Permit Application (J <br /> Building Department gAl Ve,,*7 f f <br /> ' -07 <br /> Date Received a 7 ( :] <br /> Phone Contact for Permitting �V <br /> Owner's Name Indc T( LoAd 1fJ5 1 J 10 t+ c zLawr I/ Owner Phone Number IJ63 <br /> Owner's Address IS <e S rd U 1 V� S4r- �3 o Owner Phone Number L � <br /> r <br /> Fee Simple Titleholder Name � Owner Rhone Number <br /> Fee Simple Titleholder Address <br /> �l <br /> JOB ADDRESS a �rl� , � lhl S r '335ga LOT# <br /> SUBDIVISION 1 t { �J 1(� 5 ^� PARCEL ID# _ooi o - 1 d�U0 -0(3 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION, Q rBLOCK Q FRAME <br /> -� 0 ii STEEL Q 1 <br /> DESCRIPTION OF WORK (C-fo4� S (SAE 05 V&(+ 6ht !e5 ti ��( a� 5 (} �I(, UR(�d Iai.. �IIm <br /> BUILDING SIZE J 5 b0 scy I SQ FOOTAGE HEIGHT <br /> BUILDING $ wl I Ob 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 Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LIL N J FEE CURREt,, <br /> Address - License#T <br /> ELECTRICIAN_ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address License# I - I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREIN <br /> Address License# <br /> OTHER l,I i I COMPANY �C �C <br /> SIGNATURE lJv°I 111 VVV /REGISTERED Y}/ N FEE CU EN N <br /> Address 3(� l 3 S K S y ( I I i l` License# CCe D 5 50 3' <br /> RESIDENTIAL Attach(2)Plot'Plans;(2)sets.of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days..a.tersubmittal date.'Required onsite,Construction Plans,Stormwater Plans vi/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 aftersubmittai'date:,�Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities: I durnoMer'Site Work Permit for all,new..projects.AII.commercial requirements must meet compliance . <br /> SIGN PERMIT Attach(2)-sets of Engineered Plans: <br /> ****PROPERTY SURVEY regtairei]for all NEW.-:construction. <br /> Directions: . <br /> Fill,aut applicatlon completely. <br /> owner&,C'ontractor sign;back of application,.notarized <br /> If'over.$2500,.a Notic®of Commencement'is required. (AIC- up ewover$7500) <br /> Agent(for the contractor)oir Power of Attorney(for the owner)l7would,6&someone with notarized letter-from owner authorizing same <br /> ,.;OVER'-THECOUNTER PERMITTING .,.(copy,.pf contract required) <br /> :_Reroofs`If'shingies Sewers Service.tJpgrades A/C Fences(PlottSuroey/Footage)._„ <br /> t. _._._ <br /> ! r;Pirhvsways=Not;over Couhter'if O public�roadways..nee s R0 r <br />