My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
09-9251
Zephyrhills
>
Building Department
>
Permits
>
2009
>
09-9251
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/14/2011 10:08:22 AM
Creation date
1/14/2011 10:08:21 AM
Metadata
Fields
Template:
Building Department
Building Department - Doc Type
Permit
Permit #
09-9251
Building Department - Name
PELLEGRINO,MIKE
Address
5713 13TH ST
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
6
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received - Phone Contact for Permitting -- <br /> Owner's Name v cAnQ e, ''' e \ r r Owner Phone Number <br /> Owner's Address ✓ 1 1 S� S. Z t� 1 �1.•��5 � t- Owner Phone Number �� E 1 � (� <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS - 11 - 3 , `� q- �� ��. ,�� S C L �� `ems LOT # <br /> SUBDIVISION PARCEL ID# 1% .. \ - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN 1 MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I I COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME 1 I STEEL n OTHER 1 <br /> DESCRIPTION OF WORK V <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 ROGRESS ENERGY 1 I W.R.E.C. <br /> I I PLUMBING $ <br /> D, Q� I <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INS LLATION <br /> I 1 GAS I I ROOFING 1 1 SPECIALTY I1 OTHER 7g' � /2_ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 1 INO <br /> BUILDER r' ' COMPANY V 1�br`�'e wN <br /> SIGNATURE i/ f i REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> * ** *PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (NC upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />
The URL can be used to link to this page
Your browser does not support the video tag.