Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-7B0-0021 <br /> <br />Date ReceIved <br /> <br /> <br />JOB ADDRESS <br /> <br />- -0 <br />~e ~c.~" 5~71k~~ <br />"'""'" -- ~f'''' (y '? << . It' eel.. <br />Fee Simple TItleh0Ider __ <br /> <br />Fee Simple TltIehoIder Addrea I <br />I ~6~6 <br />I <br /> <br />Owner's Name <br /> <br />t::7. <br /> <br />E/XI>'4,F===1 <br /> <br />~// )??/vti ~; '//S r:L. ~5'~ LOTI <br />PARCEL 1011 <br /> <br />SUBDIVISION <br /> <br />COIlTAlNEO _ PItOI'!RTY TAX N011Ce) <br />SIGN 0 MOVE 0 DEMOLISH <br /> <br />OTHER I Tt'- J 'rrr.... '/1."1' <br />STEEL 0 O~ER I <br /> <br /> <br />:/g~17 <br />.~ <br /> <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUC11ON <br /> <br /> <br />B <br />o <br />o <br /> <br />NEWCONSTR <br />INSTAlL <br />SFR <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br />r <br /> <br />WORK PROPOSED <br /> <br />DElICRIP110N OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />0 BUILDING 1$ <br />0 ELECTRICAL 1$ <br />0 PlUMBING 1$ <br />0 MECHANICAl 1$ <br />0 GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />AMP SERVICE <br /> <br />c::J PROGRESS ENERGY <br /> <br />D W.R.E.C <br /> <br /> <br />VALUATION OF TOTAl CONSTRUCTION <br /> <br />ROOFING <br /> <br />c::J <br />I <br /> <br />SPECIALTY 0 <br />FLoon ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />otJ <br />J / ~ (), <br /> <br />VALUATION OF MECHANICAlINSTALLATlON <br /> <br />AddNss <br /> <br /> <br />DNO <br /> <br />ELECTRICIAN <br />SIGNATURE <br />Add'-11'ff. <br /> <br />PLUMBER <br />SIGNATURE! <br />AddNss I <br /> <br />:=1 <br /> <br />Addrea I <br /> <br />OTHER I <br />SIGNATURE <br />Addrea I <br /> <br />COM~~ ~tJA,., >77:1~ p~ crt.? I <br />REGISTERED ~ FEE~ L!L!'!.J <br />"""ANY I'; ~~:~~s:,~. ~~ ~~P/!'{ UE<'r.\. <br />REGISTERED ~ FEECUAREHT ~ ) <br />~ 'B~ fj7j /34f,'} Ft. 3b77~(, Licente. I z:: C ()/J()~G(.:J7 I <br />I ::::: I ULtU FEE CUAREHT L!L!'!.J I <br />I <br />I <br />I <br />I <br />I <br /> <br />Licente . <br /> <br />BUILDER <br />SlGNAl\IRE <br /> <br />COMPANY <br />- <br /> <br />ULtU <br /> <br />FEE CURRENT <br /> <br />L!L!'!.J <br /> <br />License . <br /> <br />COMPANY <br />REGISTERED <br /> <br />ULtU <br /> <br />FEE CURRENT <br /> <br />L!L!'!.J <br /> <br />License . <br /> <br />RE!8IDENllAL <br /> <br />Attach (2) Plot Plana; (2) sets of Building Plana; (1) set of EIlIIl'llY Forms; R-O-W Penn~ for rww construction, <br />Minimum ten (10) WOIl<ing days after submittal dale. Required ons~e, ConstructiOn P1Iwls, Stormwaer Plana wI Silt Fence installed, <br />Senilely Facilities & 1 dumpeter; Site W:lrk Pennit for subdivislonII1a pIOjects <br />Attach (3) c:ornplete sets of Building PI8ns plus e Life Sefety Pllg8; (1) .. of Energy Forms. R-O-W P8lI'Il~ for rww oonstrucliOn. <br />Minim..,., ten (10) WOll<ing dayslllter submittal dIIIe. Required ensile, Construction Plans, Stonnwater Ptans wI SiK Fence inst81led, <br />Senitary Fecil~ies & 1 dumpster. Site \IYorI< Pennit for all rww projects. All c:ornmercial requirements must meet c:ornplianc;e <br />Attach (2) .. of Engineered Plans. <br />-PROPERTY SURVEY required for all NEW constnJction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMrr <br /> <br />~: <br />FUI out applicatiOn c:ornpletely. <br />Owner & ConIracIor sign bIIck of application, ncMriz8d <br />If -$ZIOO, a Notice d c-_t.. NqUired. (AIC upgnldes _ seooo) <br /> <br />.. Agent (for the contractor) or Power of AIIomey (for the owner) would be someone with ~ letter tram owner aulhorizing same <br /> <br />OVER THI! COUNTER PERMlTTtNG (Front of Application Only) <br />Reroofs s-s Service Upgrades NC Fences (PIotISurveylFootage) <br />Drlvewa,.Not over Counter if on pIilIic medways.. needs ROW <br />