Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Received 7j - D Phone Contact for Penn , ., . MI ' , <br /> Owner's Name R 4 L 1 5 ! 1 C_ Owner Phone Number S V") ' ' - - Lri 111P <br /> l g . �1 . tea, f�r3tb I 71 <br /> Owner's Address �q C� t� ; z � 5S 4 i, Sl Omer Phone Number — - _ <br /> Fee Simple Titleholder Name I <br /> Owner Phone Number I <br /> Fee Simple Titleholder Address I — I <br /> JOB ADDRESS 7c3 2 )% yr l kd.C_I' (work Y k I /i ' ` �����,��� b <br /> LOT* I � I 1 <br /> SUBDIVISION NIA C U��.S • PARCEL ID#I�y " �t Q' Q-1- t btf y Cb IUt, ' C 1 C7 I <br /> 4OSTJUNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT n SIGN n MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I •- SFR I COMM n OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK ri FRAME n STEEL 1� OTHER (1�jM-IIIMEWS, <br /> DESCRIP1IONOFWORK k �C (Y1 ' ( I" Y j I `P.1/1 `l - ,�1 <br /> it <br /> BUILD SIZE I Iu' x 31 R SQ FOOTAGE I 6") IG <br /> HEIGHT I I <br /> Egr BUILDING IS �( { l� LI'y� IJ co J VALUATION OF TOTAL CONSTRUCTION , <br /> 2.1 t L <br /> 11:1---- ELECTRICAL I$ IJ I AMP SERVICE r� PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING IS I <br /> r r - MECHANICAL IS I VALUATION OF MECHANICAL INSTALLATION <br /> - <br /> I 1 GAS El ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA nYES r O <br /> BUILDER / �� r <br /> SIGNATURE <br /> REGISTERED COMPANY 1:C l I 'W X I A. E R� N V <br /> Address* all ,' 1 - 4 / I /l I )1 l 3 4' 3 License# y�' Cl...l � W <br /> SIGNATURE <br /> I <br /> / fir . / f p 6( I <br /> REGISTERED I /v All4CtIFELE ` Y�/ N <br /> SIGNATURE � /�q� (( n n i J- 2 5 lJ <br /> Address I 1 i 1 -' O `I n1 �n Ed . 7-f� r h\ 1\ J 1 License # IC e_t.�( )I I (- ) <br /> PLUMBER REGIS <br /> ,� COMPANY �r C, ✓ p f� VV �1 C <br /> SIGNATURE S �� (�� t---...- P AW f Il �y N FEE CURRENT '"C_.L t`-k }) -1� �� ic <br /> IV N j <br /> Address I it fi, b % J'_ G'p L.icense I I H' r t A 4 )� t/) <br /> MECHANICAL dd (� I /� I /� L, n � aiC( [�. REGISTERED I I 1 E / N <br /> � <br /> SIGNATURE + � l I k Q N FEE c RENT � I <br /> ) <br /> Athirst** L k y (n� �",(�� l f"t,ip.1"1 K d . z9- ( h I Hs, ) I I License # ` Ys <br /> OTHER I <br /> 1 COMPANY I I <br /> SIGNATURE <br /> REGISTERED 1 Y/ N I FEE CURRENT I Y/ N <br /> Address* I 1 License* I I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fars: R-O-W Pemittt for new construction, <br /> Minimum ten (10) works g days after submittal date. Required asita, Construction Plans, Stonnwater Plans w/ Silt Fence lhstalled, <br /> Sanitary Facilities & 1 dhanpster: Site Wok Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Ferns. R-0-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onyts, Construction Plans, Stonnwater Plans w/ S5t Fence installed, <br /> SIGN PERMIT Sanitary ) s s o & g Engi neered Plans. Wok Permit for all new projects. All commercrequirements al requirements must meet compliance <br /> ""'PROPERTY SURVEY required for all NEW corm, <br /> , <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign bads of application, notarized <br /> I over 52500, a Notice of Commencement Is required. (A/C upgrades over $5000) <br /> Agent (for the contractor) or Poser 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 /> Remote Sewers Service Upgrades NC Fences <br /> Driveways-Not over Counter if on pubic roadways..neede ROW (Plot/Survey/Footage) <br />