Laserfiche WebLink
I wv_V­U City of Zephyr'hills <br /> hills Permit Application Fax-813-780-0021 <br /> Buliding Department <br /> Date Received Phone Cont.act for Permitting -5(2 wue ot i nk- CA v-k or1w• co M <br /> Owner's Name nc- Owner Phone Number ct� <br /> Owner's Addressi E <br /> Owner Phone Number <br /> Fee Simple Titleholder Name -sn MJ?_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r-sk ack:DCI 20x LOT# I <br /> SUBDIVISION PARCEL ID# 3�2�� Z )bq() C)I qC)( (:6c <br /> (osTAiNEb FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 DEMOLISH <br /> E5 INSTALL E REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK New '51MIC w;1%44 re JenLC_ rg!� S-L a:yn —7 <br /> NJ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> Mir) <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY WA.E.C. <br /> wb <br /> =PLUMBING <br /> 1$ <br /> =MECHANICAL $ t VALUATION OF MECHANICAL INSTALLATION $ <br /> �Zb <br /> GAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> L.% <br /> . . . . . . . . . . .. . . . . . . . . . . . . . . lifflyll . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY -1 I L�i) i ". ( ,C <br /> SIGNATURE REGISTERED Y/ N FEit CURREA L_YLN_J— <br /> Address (007-- —7am 00 License# JCt,8C0 <br /> ELECTRICIAN /� � COMPANY FtJeC C <br /> SIGNATURE REGISTERED Y N FEfE—CORREN L N <br /> Address 1,31DO Iblas PUY Z044-rd License# 639-1 S- <br /> PLUMBER COMPANY J4in <br /> SIGNATURE REGISTERED YIN 'FEE CURB Y(N <br /> -3 <br /> Address 6. RrV 1-47-13 TONI 536Z Z License# 6 <br /> MECHANICAL <br /> COMPANY . PrO <br /> SIGNATURE REGISTERED I /'N FEE CURREN _tLy/ <br /> -q �\w C� Wtv W 01, <br /> Address 5 4-th,.-144 S--) Ucense# C633 <br /> J <br /> OTHER COMPANY ?I r&A Ec—amid pxbi�_Z_A <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN N <br /> Address Na I PA 6w.- 3 License# [a ]S 2 ST2 33 <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 w/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 /> _V was sly VIN ENV 9 0 a ENT % VV ! NVAI -My my V & V . . . . . . . . . . . . . It V V <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 Att6rney(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 />