Laserfiche WebLink
813-780 -0020 City of Zephyrhills Permit Application Fax-813-780 -0021 <br /> Building Department 2 '7 '�J <br /> Date Received -7- / 2 rm <br /> (3 Phone Contact for PeiUi . / ) 3 / 1 _ , ' � <br /> owners Name 7 - 6 P1I Y LO M ,'`)3 Li— c_ Owner Phone Number 1 3 - 133 0( J`9 <br /> Owner's Address 3 G s -? Imo) *9 i C- -Fir 1 librn en Ft • 4 Owner Phone Number 1 <br /> Fee Simple Tkleholder Name I J ?1' C Owner Phone Number I <br /> Fee Simple Titleholder Addtess I <br /> JOB ADDRESS /9 2 ( q� /t- &c is G eP%iiyRn'Ib h . 1 LOT# I <br /> SUBDIVISION PARCEL ID#I3$?'1 . / — O/3e — 6000 ✓ — er' Y I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR 8 ADD/ALT 1 1 SIGN CZ n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR El COMM 1 1 OTHER I ?€.7) :C I <br /> TYPE OF CONSTRUCTION n BLOCK Q FRAME 1 1( STEEL r( <br /> DESCRIPTION OF WORK I / 45 j, { C V-A ,-0A/EA.- L i VI S i ev-a <4 X.gat `(_G 0 5 <br /> BUILDING SIZE 1 I SO FOOTAGE I HEIGHT I r;` 7 1, I <br /> nBUILDING I 3i4 4 w VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL <br /> IS I AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> ( <br /> I <br /> 0 A) 0 e I ; 1 j a 4 L - '' <br /> n MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING 0 SPECIALTY 1 1 OTHER e <br /> ff <br /> FINISHED FLOOR ELEVATIONS I D ZONE AREA rIYES NO <br /> 1111111'111'11'`I'111'11''1 il 11 "" 11111 '11111111 1111111111111111 / <br /> BUILDER / RI r ,': v, COMPANY I 7 1 9 -777 A- Si Sr ). Zi ' <br /> SIGNATURE I REGISTERED I Y/ N I FEE CORREN 1 Y/ N I <br /> Address 116 1 ( 4 N , id r m @:S k , h - 1 ) P r r I License # 1 C C. C rs G O 7 <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N ( FEE CURREN I Y/ N I <br /> Address 1 1 License* I <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED I Y 1 N I FEE CURREN I Y/ N I <br /> Address 1 1 License* 1 <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N ( FEE CURREN I Y/ N I <br /> Address 1 I License* 1 <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y I N I FEE CURREN I Y / N I <br /> Address 1 1 =1 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O-W Permit for new construction, <br /> Mininum ten (10) working days after submittal date. Required onsite. Construction Plans, Stormwater Plans w/ Silt Fence instated, <br /> Sanitary FaciNbes & 1 dumpster, Site Work Permit for srabdiviabnsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Buildup Plans plus a Life Safety Page; (1) set of Energy Forma. R -O-W Permit for new construction. <br /> Minimum ten (10) working days after submttal date. Required onsite. Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary• Faciliies & 1 dumpster. Site Work Permit for all new projects. All commerdal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for a1 NEW construction. <br /> 5 1 I <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2600, a Notice of Commencement is required. (NC upgrades over 57600) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized setter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadweys..needs ROW <br />