Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />l e (€.....-v- CLO- Vl <br />(C9l~ Bc~ S+-. N <br /> <br />k pwner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple TItleholder ~amel <br /> <br />Fee Simple Titleholder Address 'I <br />'1$l~Crc;..nbnc:4<.I''5~ll<:.rc.nb. fUi'l 5~1() '~lCvl. S-~',.4 ~hJ LOT# I <br />JOB ADDRESS . <br /> <br />t:Ifulo.k-V,1l4'3!}-lcblt.. I PARCELIDIIIID-~- ;)..1-=- oD\cI:l- OOC:C <br />. . (qBTAlNED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR D ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH <br />D INSTALL OCJ REPAIR <br />PROPOSED USE 0 SFR D COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL D <br /> <br />DESCRIPTION OF WORK R~(.lu. It 9 ~ \'Y\C.:k:.r ho..n ~ t? ~ pete , <br /> <br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I <br /> <br />,~.".",.,....."'.,..... ..,....".,.......;,..,..."..,.,.".,...,.,."".."...,.".,:,...."...,...".".,.,..."....."....,.....,..".......,. <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br /> <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br /> <br />ELECTRICAL <br /> <br />rc;ERVICE <br /> <br />00 <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />I License # <br /> <br />COMPAN;l~~e.-\ec.:tliCAJ i ~c... . <br />REGISTERED Y I. N I . FEE CURRENT I Y 1 N I <br /> <br />LIcense # 1~;~I3S3 <br /> <br />Address <br /> <br />ELECTRICIAN 1 <br />SI~NA TURE <br /> <br />.p. <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />yrN <br /> <br />Address <br /> <br />LIcense # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />License # <br />11111 11111 11111 11111 II! 1111111111111111111111111111111111111111 i 11111111111111111111111111111111111111111111111111] I11111111111111 <br />Attach (2) Plot Plans; (2) sl;lts of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsile, 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, Sanilary 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111.1111111111111111111111111111111111111111111111111111 <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 Attorney (for the owner) would be someone with notarized letter from owner a4lhQJizlng <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />. Reroofs Sewers Service Upgrades AlC <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways <br /> <br />