Laserfiche WebLink
<br />OWner's Name 0 e f1 ' S ~ (; ,/\ <br /> <br /> <br />Owner's Address I .3 2 c.s; life J: e LC<-'1-t <br /> <br /> <br />Fee Simple Titleholder Namel () e'M 01\. .) HCf. "u ({ -1 <br /> <br /> <br />Fee Simple Titleholder Address I, 3 C) J.. tl :)/e< </I j 5 f. <br />3 ~ b~ I <br />()C< K ~/ ~ <br /> <br />B <br /> <br />PROPOSED USE D <br /> <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I .oC-"'lO(;+'<./l &/ /.r-r J4rfA.tu1"J S'/fl;(.." ;;..-.(, "f~c'J".....u <br /> <br />BUILDING SIZE I I Q 10 . I SQ FOOTAGE I I HEIGHT I c> /l t' J 1r9/y <br />111111111111111111111111111111111111' , , , I , II1111111 , 11111I111 , I111 , I , 11I1 , 111I1 , I111 . , I111111111111111111111111111111 , 111II1 ' II . . I . 11111 , 111I1I , I , <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111I11111 <br /> <br />BUILDER ! '/;: ~ COMPANY L/cPSS eo1J.'/tJ.A.V'1 c, I <br />SIGNATURE ~. _ ~~ REGISTERED Y / N FEE CURRENT <br />V <br />Address License # <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />OWner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />R()s' ~-'1--f/ 2t!"/~'(/A..I(f" FL )354.2. - L'/m <br /> <br />I PARCEL ID#I OJ- ~ .2<:; -~ I - 00 '-to - C) c)~ 00 - C> ICJ c) <br />(OBTAINED FROM PROPERTY T~ N~':9 <br />c=J ADD/ALT D SIGN 0 MOVE DEMOLISH <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />LOT # <br /> <br />/6 S 16 <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />D <br /> <br />WRE,C. <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />License # <br />1I1111111111111I11111I1111111111I1111111I11I1111I1111111I11111111111111111111I111111I111111111111111111111111111II11I111111111I111 <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms, <br />Minimum ten (10) working days after submittal date, Required onsite. Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (Plol/Survey/Footage) <br />