Laserfiche WebLink
I {,'i/ I /2OCE7STN1 ;13:42 :!il ZEPHYRHILLS BUILDING Fr„ N'. 81'3-78j-1_021 ?. OC_ /C22 <br /> B13- 781.0020 City of Zephyrhills Permit Application Fax -913- 78o -OO21 <br /> Budding Department �j . <br /> • Date Received I � Y <br /> Phone Contact for Permittin GS ' e -- <br /> Owner's Name • • • a Owner Phone Number : - • t <br /> Owner's Address 1 7 L y l 9 • - T � t• (1 ; Ave.. Owner Phone Number <br /> Fee Simple Titleholder Noma( Owner Phone Number <br /> Fee Simple Titlkholder Address <br /> JOB ADDRESS (? 7 ( y 9 C. -i 1•/ ri YQ . LOT# • • I (91(4 Yuri' 20.E 1 3 . A, <br /> SSUBDIVISION N PARCELIDN 5'- a).- o f ?a - 00•0 00 - P1d° <br /> (OBTAINED FROM PROPERTY TAX NOTICE) • <br /> WORK PROPOSED NEW CONSTR MI ADD/ALT n SIGN n . MOVE n DEMOUSH , <br /> INSTALL Y REPAIR <br /> PROPOSED 119E , SFR • • n] • COMM I <br /> • TYPE OF CONSTRUCTION n • BLOCK n , FRAME 0 STEEL Q OTHER I <br /> DESCRIPTION OF WORK • i1)S ! 1 / j • 3/aS.0 -/,,,i.A4v6,ds / n p . >c,•.1 / / ru v .. C . g 4 <br /> BUILDING. SIZE I la i X/ r r c/a 1 SQ FOOTAGE [ . 8 / i 1 tiFJGHT / '-io io r <br /> WI BUILDING $� . ' Y • o o I VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRI 1$ I AMP SERVICE 1 I • PROGRESS ENERGY 1 J W.RE,C. <br /> 0- d r O <br /> Q PLUMBING I 1 ` 1-. • <br /> FT MECHANICAL I$ 1 VALUATION OF MECHANICAL INSTALfATION t' 7' 0 <br /> Li GAS rl ROOFING . 1 SPEC (l OTHER 1 1 9 ,,,..10-• <br /> DONE AR <br /> FINISHED FLOOR ELEVATIONS ` re AYES n e • Ilb <br /> I _ V <br /> . <br /> aa� Arc . <br /> B 1 <br /> UILDER , / / COMPANY ' C&s • 7 SC/Q ' v <br /> SIGNATURE 7�ty. /! -.c; REGISTERED ® E URREN J <br /> Address � t /" 5Tr i 3i-1r / e I r C i, ' . l ice # I 0 5 b y 9 ` <br /> ELECTRICIAN �j„ _�� [� f t r I p--_ <br /> Y f N Y � FEEkuRrs�NT n Y J <br /> SIGNATURE , <br /> Address l © — j u . _ . ISIMIEffiltl 'Pr-smelt ' 1E R.c) (1 `Q e i? • <br /> PLUMBER COMPANY <br /> SIGNATURE REGSTERED 1 Y 1 N J. FEE CURRE=NT . 1 Y/ N I • • <br /> Address License* <br /> MECHANICAL COMPANY <br /> SIGNATURE Rees -mien 1 Y I N 1 FEE CURRENT ] Y !IV I <br /> Address License # • <br /> OTHER • • , COMPANY I I <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT ] Y / N I <br /> Address 1 _ _ I. . License# 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -•w Permit for near corwtn,cuon, <br /> Minimum ten (10) Working days alter submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpater; SlIe Work Permit for subdivisionsdarge projects <br /> COMMERCIAL • Attach (3) complete sets of Building Flares plus a Life Safely Page; (1) set of Energy Forms. R -O•W Permit for new construction. <br /> Muwntlm ten (10) waking days after submittal date. Requted onslte, Construction Plane; Stotmwater Plans w/ Silt Fence Installed, <br /> Smithey Fadltlee & 1 dumpster. SIfe Work Permit for all new projects. M commercial requirements must meet compliance <br /> • SIGN PERMIT Attach (2) sets of Engineered Plane. <br /> "'*PROPERTY SURVEY required for al NEW donstruclion.• <br /> Directions: ' • <br /> Fll out application completely. , <br /> Owner& Contractor sign bads of application, notarized • • • <br /> If over $2500, a Notice of Commencement le required. (A/C upgrades over $5000) <br /> Agent (for the ogntractor) or Power of Attorney (for the owner) would be someone with notarized letter Fran owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applcaticn Only) <br /> Reroofs Sewers Service Upgrades A/G Fences (rloraurvey /Fo0lage) <br /> • <br /> Driveways -Not over Counter if on puba° roadweya.neede ROW <br />