Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax~13-780-0021 <br /> <br />). <br /> <br />-- d =--.......~ <br />Owner"s Name I/p, 9,J..(/.tJZ klf.c ' C keu'i 0wMr Phone Number <br />Owner"s Add... I j If:> 20 2..0 ,11 S:::../12t=:.-'""7:= ~ I Owner Phone Number I <br />Fee Simple TItleholder Name I I Owner Phone N.....-I <br /> <br />~1(HI <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItleholder Addreu I <br /> <br />15c;~ <br />1 <br /> <br />zo'" <br /> <br />S{'CEPlly,z}{/LL~ FL. LOU I <br /> <br />PARCELID#I/< Z,", z.J oozo ()O~OO 0/16 <br />(OBTAINED FROM PROPERTY TAX NOnce) <br />SIGN D MOVE D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTlON <br /> <br />E3 <br />o <br />o <br />l2::::Nsr~LL. ;::J/2...e <:"<:;.:J"?p~-;c SirlN <br />I SQ FOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEel D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />-9 ~,.. c=,...-, <br />HEIGHT I <br /> <br />DESCRIPTION OF WORK <br /> <br />D BUilDING 1$ I <br />D ELECTRICAL 1$ I <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br />D GAS 0 ROOFING D <br />FINISHED FLOOR ElEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.RE.C. <br /> <br />VALUATION OF MECHANiCAl INSTALLATION <br /> <br />SPEC~TY 0 OTHER <br />flOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED UL!:U FEE CURRENT I Y/N I <br /> license # <br />COMPANY <br />REGISTERED UL!:U FEE CURRENT I Y/N I <br /> license # <br />COMPANY <br />REGISTERED UL!:U FEE CURRENT I Y/N I <br /> license # <br />COMPANY <br />REGISTERED UL!:U FEE CURRENT I Y/N I <br /> license # I <br />COMPANY ~eo'1n;y hlz"'" C:f9O/~i <br />REGISTERED Y I N FEE CURRENT Y I N <br /> license # 15""& '> TZlXlOGZD 0 J <br /> , <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Addreu <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Addreu <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />O~ER ~ ~ <br />SIGNATURE c::.-. / ~ <br />Addreu i <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) wor1<ing days after submittal date. Required onsne, Construction Plans, Sanitary Facilnies & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) wor1<ing days after Slbmittal date. Required onsile, Construction Plans, Sanitary Facilnies & 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 /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />DInlc:tions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500. a Notice flit C_t is nlqUlnKl. (AIC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone wnh notarized letter from owner authorizing same <br /> <br />OVER ~E COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PIotIS~/F"",-) <br /> <br />Drlveways-Not over Counter if on public roadways..needs ROW <br />