10-10384 - Laserfiche WebLink

Browse Search

813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 / (� Building Department {ate v Y Y Q 1 ' Date Received Phone Contact for Permitting tJ ( / 1'1 -- ( g c / ip (I11131INNIMiMMIMMM• ,. c l6l UimlifliUimhi811l18iatiffir amillimmilmiXthlbih131ifh ■ ,I,;,I,e I ,' . It ci' . ,. . ., .,c 8IIIMPI nI. IlfltIMI11.11 :11,0: mmttl'.�1. mmmm:Ktmmmmltt l' Owner's Name (, C. el 4 S-4. r 1 e. 3 5 / 3 L Owner Phone Number Owner's Address 113 010 US I�i5hwa 3 0 Owner Phone Number eI D e,c Q 6 -;k -y , rC 3 3Sts Owner Phone Number Fee Simple Titleholder Address / JOB ADDRESS 1 s y 2 &A.t ffI ti LOT # SUBDIVISION PARCELID# i t. Z(o - 21- 0010 - 0 9S oo - 02S0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I MOVE Z DEMOLISH INSTALL REPAIR PROPOSED USE n SFR COMM n OTHER I I TYPE OF CONSTRUCTION n BLOCK 1 n FRAME n STEEL I OTHER 1 be" OF WORK be 0 tJ00 d de L k at/e( r e-4er 44 0 . are A ®a+ 50.. . 5 ;Se O 'T buAL5 BUILDING SIZE SQ FOOTAGE HEIGHT t1 :411:tl7M1'tigWmmmmmmttltl'IIMttI' till/'ngltnmmmtmmmm:dmmmnmmmin:ntt IDIIRimMIII IIIYI Itmm MUnmIaIM' 1 11IDmttrIMM1Hltl al31m4141#nnlplmuIIRVI DIIVIImmaYtttIr11# 1lmNM tpttlItIDlm:lmmHtnlmimginmittmt [-I BUILDING $ 13 c r 0 VALUATION OF TOTAL CONSTRUCTION 1 ELECTRICAL $ I AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. I PLUMBING $ n MECHANICAL $ I VALUATION OF MECHANICAL INSTALLATION I I GAS I] ROOFING I SPECIALTY I OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA ITYES [] NO !IIIVITIi!IMInl IJIM ln!VR i I4Itt tt!n MI MImMIP111111ttfIrimumtn !ml}1111M IM Inn! IRRI t!nlmnnilAl!n IIIII 7lmllrcMMi mmnIIIRMIntllnlnt4En !nHlnngltl // Hin Itt4nlnIttIM l�l!mm�lm IRI3im?nn! ! 1413 tn!n�l / �f IVIIITt IM BUILDER 90160 COMPANY grin G.. Con f -ft u C4-4 0 . 1 Q i' F( I� SIGNATURE -7 REGISTERED f Y/ N I FEE CURRENT I Y/ N Address 13641 S.( °'' r L- '11 'i I License # 1 C &C 151 1 -7 7 7- I ELECTRICIAN COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address 1 License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address I 1 License # I I MECHANICAL COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License# I I OTHER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y 1 N I Address I 1 License # 1 li'dF iorsierrifririmMitig HI,LHHrliril HI!NH11H!HN1N@IttItrialitt tiHrtinHHeltitt!HttiHIIlifirt tIHMHI;NIit!HHHHigtill tilxRINIHI'IdIrMitirtri I:tINLHmIIHrmitiilHl lmWiHHIYI irinrrirtr HltriIttPHHiiHH1'H triviiH':HIHNtirort H11'HN RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Fadlities & 1 dumpster; Site Work Permit for subdivisions/large projects 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. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. "PROPERTY SURVEY required for all NEW construction. 119i? FINIf fililin9RERN9NRINI93ri1R19 . 19E19R3RiTHRIHRI lli!illEflaiffl: fiffIliEfIVII65REEIMIllifli 1!111111 tti'IEIRT11111311ERI 313f71917iARdfttiMERT19t91tt1913[ 1111131ifI08119!t1 IRITRUM ti7IRTIHtB3i31PIR 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 contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways.. needs ROW