Laserfiche WebLink
<br />1 I <br /> <br />\(1/ <br /> <br />~ 813-78~020 <br /> <br />. <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 /> <br />Owner's Address 5439 Bea.UlIK)Ilt Cntr Bl <br />r Name I <br /> <br />OWner Phone Number <br /> <br />Owner Phone Number I <br /> <br />133634 I <br />Owner Phone Number <br /> <br />Fee Simple T1tlehold r Add..... I <br /> <br />I j{oJ-lf0 <br /> <br />I Sil verado <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRU <br /> <br />B <br />Q <br /> <br />DeJitL Go k:\ 8- . <br />I <br />B <br />D <br />~ <br /> <br />OTHER I <br /> <br />LOT # <br /> <br />q <br /> <br />PARCEL 10# I <br /> <br />4-26-2J-OO~O- 00 I CXJ-6(,)Cj a <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />D <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADDtAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL 0 <br /> <br /> <br />1$ /qql qq:;J-. db <br />1$ <br />1$ <br />1$ <br />D GAS 0 <br /> <br />FINISHED FLOOR Et.FVATIONS I <br /> <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />BUILDING <br />; <br /> <br />D <br /> <br />ELECTRIC~L <br /> <br />D <br /> <br />PLUMBIN1 <br /> <br />MECHANldAL <br /> <br />D <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />\.... <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Addres. <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Construct Single Family Residence <br />SQFooTAGE I d.~70 <br /> <br />HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />()~ cr.')~ {=0( ~~~ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />\;VREC <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />tJoc --- <br /> <br />~ I<-o-w \M~ <br /> <br />9\0-\- ./ <br />Su.D5 - \>10."l\bs ~ D. UZ> <br />D NO pn<-\('On - ~-\t\.v'rI ~ <br /> <br />ROOFING <br /> <br />o <br />I <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />COMPANY I Windward Hanes <br />REGISTERED I@N I FEE CURRENT I ~ I <br /> <br />3634 LIcense # I CBC1 252865 <br /> <br />FL 34677 <br /> <br /> <br />License # <br /> <br />~ <br /> <br />~ <br />I <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />."RmiiII!,_ <br /> <br />ttaeh (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Inlmum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary FacilltleB & 1 dumpster <br />ttach (3) .... of Building Plan.: (1) .et of energy Fonn., <br />Inlmum ten (10) working days after submittal date. Required onslte, Constructfon Plans, Sanitary Facilities & 1 dumpster <br />II commercial requirements must meet compllan~. <br />ttaeh (2) sets of Engineered Plans. <br />...PROPERTY SURVEY required for all NEW con.tructlon. <br /> <br />.m~Eml_ <br /> <br />Directions: <br />Fill out appllcatlo completely. <br />Owner & Contra r sign back of application, notarized <br />If over $2500, a otlce of Commencement I. required. (AlC upgrade. over $5000) <br /> <br />Agent (for the co tractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTE PERM1'n'ING (Front of Appllcetlon Only) <br />Reroofs ewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not ~er Counter If on publiC roadways..needs ROW <br />