09-8954 - Laserfiche WebLink

Browse Search

c 1/45 q Sy Fax- 813- 780 -0021 813 -780 -0020 City of Zephyrhills Permit Application / Building Department • Date Received Phone Contact for permittine J _ A – 5 �� A r(1 J CI1 L,SO�! Owner Phone Number tit Owner's Name - ',VW 7 /`, n y , L . Z nh P ) 1 V S ( Owner Phone Number I Owner's Address ! t", , Owner Phone Number 1 Fee Simple Titleholder Namel Fee Simple Titleholder Address I , • /0 ' vr_, - {� 2h11i I LOT# I JOB ADDRESS IJYJ ,`� Ze / v , I PARCEL ID#1 /A a -ay' er /e' " � 7�d 1 . 4/ t SUBDIVISION 1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I ADD /ALT n S IGN [ MOVE Q DEMOLISH I INSTALL I REPAIR PROPOSED USE I I SFR I I COMM 1711 OTHER I TYPE OF CONSTRUCTION [Z BLOCK I I FRAME n STEEL [I OTHER I I /� I DESCRIPTION OF WORK 1 Remold?... C 1") �'` z0 E., . ° e r e ; el e5 z+ BUILDING SIZE 1 I SQ FOOTAGE 1 I HEIGHT I r BUILDING $ �t7 VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I-1 W.R.E.0 I I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS I I ROOFING I I SPECIALTY [ OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES FIN() BUILDER / 7fr / 0 . CO MPANY V I N ECURRENT SN ATURE L REGTERED Y / N I 0 Address 1 f /1 /iq R(1 t�� Q -I-- 1 1 License# L (7 1 t 3 ELECTRICIAN . SIGNATURE //P REGISTERED I Y / N I FEE CURRENT I Y/ N I Address I , License # PLUMBER COMPANY SIGNATURE SIGNATURE IL i /A REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I I MECHANICAL / COMPANY SIGNATURE Ai H REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I License # 1 OTHER COMPANY 1 SIGNATURE REGISTERED I ¥ I N I FEE CURRENT I Y/N I Address I I License # I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over ;2500, a Notice of Commencement Is required. (A/C upgrades over $5000) ** ' Agent (for the contr d be someone with notarized Letter from owner authorizing same DO- adEWp 6 Yk S3O - AY � �YFIJ�UUJA4 OVER THE COUNTER P Rl f o ,l,41f,1�pplical)p�►6_ M Wigi C ;,..lit". ri `�' Reroofs Sev en ' - , ': 5; U, ,adss ,,,, \ Driveways FOAaturvey/fgq pe) t .. ht svi. t IDG.'1 "A StWt 4 i r "� ■ Q u a t raA 4 ; '0 bebiiO$ „ ; ` "t f-` .. t ^t ""4•,-E ,.