Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dab Received 0 - II - f ° Phone Contact for P 1 i 1 1 II i - Oe • # I 0% <br /> 11 Owners Name I\ i-.4(\ ll .- l 1 _ I 1,1_,r.-/ Owner Phone Number S, : 15,< ..' j 7s N <br /> Owner's Address , RZ .S. -S, Owlw Phone Number <br /> Fee Simple Titleholder Name I i Owner Phone Number I <br /> Fee Simple Titleholder Address 1 1 <br /> JOB ADDRESS �' / (( _ _ .�( <br /> IVI } ,_Ilk IP I 1 LOT t MRS <br /> SUBDSION 1 1 l(1 ( SkAc t Y PARCEL 100 12-4' 2,4 -a t - m - 00000 0 I <br /> �j (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED [3 ,.. NEW CONSTR 8 I-1 n -- <br /> ADD /ALT � SIGN II DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE E Q COMM r1 OTHER I f <br /> TYPE OF CONSTRUCTION 1=1 BLOCK E FRAME � I / 1 � � STTEEL Ir... qiirtarnizu <br /> DESCRIPTION OF WORK 1i Q (�"IO,i i� par <br /> IC 1 /lam i I <br /> . ..)9 BUILDING SIZE 1 1q I X � t 1 SQ FOOTAGE 1 ` , i / 1 HEIGHT 1 <br /> rC, <br /> UILDING $ - .y 1 C1 VALUATION OF TOTAL CONSTRUCTION ,1 L <br /> >(� -� , <br /> =XECTRICAL $ I AMP SERVICE L J . PROGRESS ENERGY n W.R.E.C. <br /> ® MBING $ <br /> FF�iRECHANICAL ($ I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS n ROOFING Q SPECIALTY r--1 OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> ' 1 1 1 Y-1 y 1 1' 1 1 1 1 1 II-0 " 1 1 1 " 1 1 1 1 1 1 11 1 1 1 1 �- 1 1 1' <br /> BUILDER Nog) 1 <br /> W1/(1 A ,� S X Ne+ Mbbt R_- ■ t t 1 . <br /> SIGNATURE �� / 'wt. �y� R EGISTERED r FEE CURREN U`. <br /> Address ! +3rd t1Y L . JL ► JU / License # I (L t ! L') 0 I <br /> ELECTRICIAN �/ /� COMPANY of f As 0 C� r 1 c <br /> SIGNATURE & ' t .J REGISTERED �ei l� FEE CURRE 1' a <br /> A d d r e s s AIM. 1 S YT l ' J , 11. )R5 License # (C,a- -t lJ l q 1 1) I <br /> PLUMBER � Jam„ e /f COMPANY daft - 11 $ I t HO <br /> SIGNATURE - f 1 (f��(/e REGISTERED f f� FEE CURREN n i giza <br /> Address o 16 . I O . i .,'_111% A License# I1 I vcY- b <br /> MECHANICAL dc COMPANY 1 V r:5 ! t/ C.- 1 <br /> SIGNATURE ,`f 14_ _ REGISTERED N I FEE C REn I (1D/ N <br /> Address u_• M - � License# I'r. 3 J <br /> OTHER COMPANY ( <br /> 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N <br /> Address I <br /> I License # I <br /> 111111111111111111111111111111111111 <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/ Sill Fence installed, <br /> Sanitary Facilities & 1 dunpster, 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 dunpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "• 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 $7500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways ..needs ROW <br />