Laserfiche WebLink
ti13-780-0C2G City of Zephyrhills Permit Appli�abon � Z( 7� =aX-ai�aso-oczi /� <br /> , 9uilding Departmen; �} �\ � <br /> /I � <br /> ' Date Received Phone ConW ct for Permittmg <br /> � - <br /> Owner's Name Q e Owner Pbone Number �� - 7� /���7 � <br /> Owner's address � 3/10 /�IM �d � a JNi�����jiy � <br /> pwner Phone Numbe,.�� <br /> (O � <br /> Fee Simple Titleholder Name Owner Phone Number �— I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �:.J �„J '"" Y i ' S 7 LOT #� �—, <br /> SUBDIVISION ��t��_�q�-� S PARCEL ID# Ot °L�`Z I' ��� 4 ����Q <br /> � (OB7AINED FROM PROPERTY TAX NOTICE� <br /> WORi( PROPQSED � NEW C0�'STR � ADD/ALT � SIGN � MOVE � DEMOLISH <br /> INSTNL! RtPAIR <br /> PROPOSED USE � S�P. � COMM � OTHER <br /> TYPEOFCONSTRUCTION (-� BLOCK � FRAMc � STEEL � OTHEP. <br /> DESCRlPTIONOFWORK ��� (Z(.� - �i�'N� � �c C _ �3� 'v 3�diO I <br /> BUILDiNG Sf2E � SQ FOOTAGE �—_� HEIGHT �_—� �/(f "' �` �S� � m�6 �'�] <br /> � <br /> � <br /> �� 9UILDING �-- i <br /> � VAUJATION 0� TJ �AL CONSTRUCTION <br /> � =LECTRICAL � � AMP SERVICE � PROGRESS ENERGY CI W.R.E C <br /> � °WMBING � <br /> � MECHANIC.AL 5 QO VALUATIOI�' 0= Mc�,^,HANICAL INSTALLATION I� �� �� <br /> , ,G <br /> � 3AS � RUOFING � SPECIALTY � pTHEP. <br /> 'r INISHED FLOOR �LEVF,TIONS � FLOOD ZONE AREA �YES �NO <br /> I � <br /> � . . . . . . . .. . . . . . . .... . _ . . .. , . . . . . . . . -- - . . . .. . . . <br /> _� <br /> BUILDER � COMPANY � <br /> SIGNATURE i I Re�isT=_Rec Y� I\ Fc� CURRENT Y! N� <br /> Address � —� License k �— j <br /> ELECTRICIAN � I COMPANY � <br /> SIGNATURE � REGIS7EREG I Y; N Fe� cuRRervT Y' N <br /> Address � L�cense # I � <br /> —� <br /> PLUMBER COMPANY � � <br /> SIGNATURE I i REGISTERED Y/ N EE CURREN7 Y/ N <br /> Address License # �--� <br /> MFCHANICA � e. COMPANY S � � �c:�'}Y� ,� � ��y�fCe.tqy <br /> SfGNATURE �/yI � REGISTEREC I Y! N I FEe CURREN7 Y! N j Y <br /> Address �,.! b N , B 33 ��� �i�rtse # c �1c iay � Q�j <br /> OTHER � I COMPANY �— <br /> SIGNATURE � REGISTEREC Y! N FEE CURRENT 1' ! N <br /> Address License � �--� <br /> RESIDENTIAL Attach (2) Pfot Plans, (2) sets of Building Plans� (1 � se± of Energy Forms: R-0-W Permit for new construction <br /> Mmimum ten (10) woricmg days after submittai date Reqwretl onsite. Construc4on Plans. Stormwater Plans w/ Silt �ence mstalled. <br /> Sanitary Facilihes & 1 dumpster Site Work Pertnit for subdrvisions/large pro�ects <br /> COMMERCIAL Attach (31 compfete sets of Building Plans plus a Life Safery Page. (1) set ot Energy Fortns. R-O-W Pertnit for new construdion <br /> Mirnmum ten (101 working tlays after submittal date Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 7 dumpster Srte Work Fermit for all new pro�ec!s. Ali commeraal reqwrements mus! meet comp6ance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans <br /> ""PROPERTY SURVEY required for all NEW construction <br /> Directiorts: � � - ' - <br /> Fill out app6cation completely <br /> Owner & GoMractor sgn back o` apphcation, notanzed <br /> If ove� a250Q a Notice of Cpmmencement is required. (A/C upgrades over $5000) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone wrth notanzed letter from owner authonzing same <br /> OVER THE COUNTER PERMITT'ING (Front of Applicahon Only1 <br /> Reroofs Sewers Service Upgrades A/C Fences (PIOUSurvey/Footage) <br /> DrivewaysNot over Counter if on public roadways. needs ROW <br />