06-5790 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit Application Building Department D NEW CONSTR E3' AD DIAL T D D INSTALL REPAIR PROPOSED USE D SFR 0 COMM D OTHER F~ Mee. TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL 0 OTHER I DESCRIPTIONOFWORK I To I}vr;:e/( l<oA# NO;'5e V- CQIl.. ~'lS-,t;'T5 ~~ btJ.') .~E 122'( J.,~ - F~ 1 sa FOOTAGE 1 I HEIGHT 1 1 . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . ~ , . . . . . , . . . . . . . . . . . . , . . , . . , . , , . . , . . . . , . . . . . . . . . . , . . . . . , . , , . . . . , . . . . . . , . . . . . , . , . . . . . . . , . . . . . , . . , . . . , . , , . o BUILDING 1$ D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ D GAS D FINISHED FLOOR ELEVATIONS I Date Received Tko Owner's Address f () I Fee Simple Titleholder NamJ Owner's Name 7-~~~L { tL : 33 I I f3tJx . l{ '1 (J ' -' Fee Simple Titleholder Address I 3<n-1'{ '3 ~7-1 z. 7~(/e. . PARCEL ID#I JOB ADDRESS SUBDIVISION WORK PROPOSED Owner phone Number Owner Phone Number I OWner Phone Num~r 1 , ~' ~ '; ~'15a.\~ \ I-v., - 2\A"O\O-I"'tOO-O:t~ LOT # I I ~ \ ()~IO r .2>'iSz"2- DEMOLIsH \\ -a~ '-d\ - bO\O-\3'dCO.. (OBTAINED FROM PROPERTY TAX NOTICE} SIGN 0 MOVE 0 t' <I"" ;;. ^I~/4" II, Z':'/!/r1X I' I VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY AMP SERVICE D D W,R.E.C, VALUATION OF MECHANICAL INSTALLATION ROOFING D I SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO II.'............."..............,.,.,...,..,......,..""""""""'1"'."""""""""""""""""""""""""""!"""""""" BUILDER SIGNATURE YIN FEE CURRENT Address License # ELECTRICIAN SIGNATURE YI N FEE CURRENT Address License # PLUMBER SIGNATURE YIN FEE CURRENT Address License # MECHANICAL SIGNATURE Y I N FEE CURRENT Address License # OTHER SIGNATURE YI N FEE CURRENT Address License # Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) !';et of Energy Forms. Minimum ten (10) working days after submittal date. Required onslle. Constructlon Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for ali NEW construction. I I ~ I I I I I I I I I . I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I . I I . I I I I . I I I 'I . 1 I I . ~ I I II I I I I I I I I. . I I i I I I I I i I I Iii i i I I Iii I Ii. I 1 I i I i I I I I I i I i I I I I i I I I , i I ~ I i Iii i " i i i j i I I i Iii i Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades' over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter fro OVER THE COUNTER PERMITTING i (Front of Application Only) Reroofs Sewers SeNice Upgrades AlC RESIDENTIAL COMMERCIAL SIGN PERMIT Driveways YIN YIN YIN YIN YIN " ame