Laserfiche WebLink
<br />813-78lJ..OO20 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />/", ,--..., ", <br />'~l. <br />1\ J <br />"'~ -/" <br /> <br />JOB ADDREss:~r(1 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's AddFllllS <br /> <br />Fee Simple TrUeho/der Name I 5 t\'\ <br /> <br />3 <br /> <br />WORK PROPOSED <br /> <br />~f~(yJt,U~ Co/fJN~ r .;l~' <br /> <br />[)7'( NEW CONSTR E3 ADD/ALT 0 SIGN 0 <br />D INSTAlL REPAIR <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER <br />TYPE OF CONSlRUC110N lZl BLOCK 0 FRAME 0 STEEL 0 OTHER I I <br />""",,""0'"'' WORK I N C_ vJ ( Il\C>S:IY c.+. 0 '" rv1 Ftl , ud i3... V), "''' Z! · I Lj'\ <br />...""'" ... [J,O I j 50 'I .. """...1 ?, DOC> I """"" I 18 .s I " "7 t) <br /> <br />o BUILDING 1$1 I <br />.)fd J 500, <br />o ELECTRICAl 1$ ~ 0 I () CJO <br /> <br />o PLUMBING @ ! 5 DO <br /> <br />o MECHANICAl 1$ '/ / 7 0 0 <br /> <br />czj GAS r:zf ) ROOFING <br />FINISHED FLOOR ELEVATIONS I 't 0 I <br /> <br />r <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />VAlUATION OF TOTAl CONSTRUCTION <br />AMP SERVICE d PROGRESS ENERGY <br /> <br />o <br /> <br />WRE.C. <br /> <br />VAlUATION OF MECHANICAlINSTAlu>.TION <br /> <br />DYES <br /> <br />~ <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />AddI'8lIS <br /> <br /> <br />(IoJo/ <br />S (l.';4- .:Jl-lo~ Lutz.. FI.\ <br /> <br /> <br />(l. 1/ / c~.s <br /> <br />LK:ense# I CG(~ OS1~ ",,\,v(/'~\. <br />~p",d ELt'(lYICA~~;~~~e~il~~' <br />~ FEECURRENT IN/, rY~'W ~'" '"' <br />License # iECOOOt'9'....<A' 1,\(..\b"~V <br />\ .\~,'v v <br />v?: X: ,J' <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Ad_ <br /> <br />ELECll'UClAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br />AddFllllS i~)Yy <br />MECHANICAL I <br />SIGNATURE , <br />Addreea I <br />~:Ne:TURE r <br /> <br />AddI'8lIS I <br /> <br />~L License # <br />I COMPANY <br />REGISTERED ~ FEE CURRENT u:..!..!!-I <br /> license # <br /> COMPANY <br /> REGISTERED L:'!:..!.1U FEE CURRENT u:..!..!!-I <br /> License # <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans; (2) sets 0/ Building Pls1s; (1) set of Energy Forms <br />Minimum ten (10) working days after submitlal dale. Required ensile, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Buiking Plens; (1) set of Energy Forms. <br />Minimum ten (10) worI<ing days after submitlal dale, Required ensite, Construction Plens, Senltary Facilities & 1 dumpster <br />All commercial requirements must meet complianCe. <br />Attach (2) sets of Engine<<ed Plans. <br />--PROPERTY SURVEY required for all NEW construclion. <br /> <br />RESlDEN1IAL <br /> <br />COMMERCIAL <br /> <br />Directions: <br />Fill out application completely, <br />Owner & Contractor sign beck of application, notarized <br />If over $25CIO, a Notice of Cornrnencement I. required. (AIC upgrades 0__ $50001 <br /> <br />_ Agent (for the contracIOr) or P~r 0/ Attorney (for the owner) would be someone.with notarized letter from owner authorizing same <br />OVER lHE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (pIol1SurveylFoolage) <br /> <br />Driveways-Not oyer Counter if on publiC roadways..needs ROW <br />