Laserfiche WebLink
<br />8113-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address ~ 'i ~Vt I mmM.oc.t d i . <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number L <br /> <br />Fee Simple Titleholder Address I <br /> <br />131klV ~LVi ( <br />Iln~r1 <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />JOB ADDRESS <br /> <br />~ YVl <\'\JLt- rl (L . <br /> <br />I PARCELlD# I 3~ I ~~. - J-I - 0 /0(> - (J(XJC'() - ()~ f.;tJ <br />(08T AINED FROM PROPERTY TAX NOTICE) <br /> <br />B <br />D <br />D <br />DESCRIPTION OF WORK \ <br />BUILDING SIZE /57 (" ~L-SQ FOOTAGE <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOC <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br /> <br />D BUILDING 1$ d'7 37~ ,.- I <br />D ELECTRICAL 1$ I <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />~ <br /> <br />LOT # <br /> <br />D <br />uz( <br />D <br /> <br />D <br />I PotJ t.- <br />D <br /> <br />D <br /> <br />DEMOLISH <br /> <br />SIGN <br /> <br />MOVE <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C. <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />T~'Y\(J"A.J~Q..,_c..Q'/y,='h- ~e OUJ>>cJD <br />VALUATION OF MECHANICAL INSTALLATION I \.. '.' r:....,. '" <br />nA:..G~lnst\K+ .(vntvl-t'e oIC.(j[;, <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNO <br /> <br />License # <br /> <br />1111111111111111111111II11111I1I111111II1111I111111I111111II11111I1111111I111111I1111111111111111111111111111IIIIIIIilllllllllllll <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 onslte. 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 />111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111 <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 AlC <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />~ECTRICIAN <br />SIGNATURE <br /> <br />~ SI( <br /> <br />;.."". ;--~-;;.) <br /> <br />~~PANY <br />REGISTERED <br /> <br />/ Address <br /> <br />rl PLUMBER <br />SIGNATURE <br /> <br />-.1 <br /> <br />C~PANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br /> <br />MIf1/I1- /JAr; /o~1 .s <br />1 .y I N I FEE CURRENT I Y I N I <br />License # I de I q. 5" 'f ~2.. <br /> <br />~Po.)k'ln-s <Clec~-\-nc- <br />I Y I N I FEE CURRENT I Y I N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />License # <br /> <br />~~tnQc I~~ PonlS <br />~ Y I N I' FEE CUR~ENT I Y I N <br /> <br />License # I <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />