06-5922 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received. '2'6 ()l, Owner's Name Le 0 f 13 af/che- ULO/1 e..- Qwne(s Add",,, 15& JJj mUSt'- a. Jephyrh lib 335'12- -bfth Fee Simple Titleholder Nam~ ] Owner Phone Number OWner Phone Number 1 Owner Phone Number I Fee Simple Titleholder Address I J 15h';( ~ mUSe. Cf; ) 2epAyrhilJs) FL -a:3:Jlj- 2 -fofSb I 1~1l ~.; BJ/4./-l-J" :;?J c:J.... I PARCEL ID#I / ~- ,)..0-d./-03/0- O()OOO- Ot10 (OBTAINED FROM PROPERTY TAX NOTICE) c=J ADD/ALT D SIGN D MOVE D D REPAIR o COMM D o FRAME D Pool I- \.J~ ,fllO 1 JOB ADDRESS LOT # 1%7 SUBDIVISION WORK PROPOSED ~ OCJ D NEW CONSTR INSTALL SFR BLOCK DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION BUILDING SIZE rOU nd SQ FOOTAGE I OTHER I STEEL D 'MLUe OTHER I I I .u1 I HEIGHT 1 ..........111111...................11..11......111...............11......11111................111.....11....111......11...,.....,..,........111.11 1$ J 1,) cXXJ, ()D 1$ 1$ 1$ c=J GAS D FINISHED FLOOR ELEVATIONS I CSK c=J I I I I o I ;~~~~~~.""" ~z:" =.. iT t\ ~r ~;~;~""".""""""...."".""""".""'''''.'''. """'''' VALUATION OF TOTAL CONSTRUCTION BUILDING ELECTRICAL AMP SERVICE ct:J PROGRESS ENERGY D W.R.E.C. ~ PLUMBING c=J MECHANICAL VALUATION OF MECHANICAL INSTALLATION L t,,\OC --y.,-;- ROOFING SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO Address License # COMPANY REGISTERED ~~~~~!,i~ I ~ License # I CCCJOO 1865 I 1 ~fN ~~6<EEC~:;N~~fiJ~C ~ License # I I I I I I YI N FEE CURRENT Y/N ~eCTRICIAN SIGNATURE PLUMBER SIGNATURE ~ q F\q. 6o{D "'r~ ,'J ~;;) COMPANY . REGISTERED I Address Address MECHANICAL SIGNATURE Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # 11111"""1111 "'"1"'11111""""'1"111111"111111"1"'11"11111111111""11111111111111111111111""'111111111111111111""""11111111'"'"11", RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction, J I I I I I I I . , ~ I I I I , J . . 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 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 II I I I I I I . I I I I I I I I I I I I I I I I II I I I I I I I i I Iii i I I I I I Iii 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 from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)