Laserfiche WebLink
07/27/2011 16:30 3525674454 MILBAR PAGE 01/05 <br /> �l.o`� IIt3•780•0020 City of Zephyrhills Permit Application Fax-01�•78 <br /> BuikJing Departmant 4 � �►`� <br /> Dam Rccolved -- � PhO� CoMact for PCrmiltin <br /> �er's Name U !' OW�1er P1101b Nulllber 1, � 41e. 72. <br /> Ownsra Addross vu � Owner PYrono Number <br /> Foo Simple Tltbh0lder Name Owner PhOne Numbe� � <br /> Fee Simplo Titleholdar Addreas <br /> JOB ADDRESS �3S'�e � LOT # � <br /> SIJBDIVISION r l�l��hew (�f5� �� __Cl1 � FARCELN� • ' - � <br /> (O�TAIN� FROM PROPRRTV TAX NOTICEI <br /> WORK pRQPOS6D B NEW CONSTR r� ADDlAI,T Q SIGN Q M01l� Q DEMOLISH <br /> INSTALL U REPAIR <br /> ' PROPOSEOUSfl � SPR Q COMM � OTHER G- <br /> TYpE OF CONSTRUCTIDN � 6�OCK � FRAME Q STEEL Q OtMER <br /> DE3CRIP710N OF WORK ! <br /> BUILDING 312E 8Q FOOTACiE kEIGHT <br /> 1% BUII.D�NG i � VAI.UATION OF 70TAt CONSTRUCTION <br /> Q ELEC7RICAL $ AMP SERVICE Q PROGRESS HNERGY Q W,R.E.C. <br /> � PLUMBING S , � t Z ( `C � <br /> �T ' <br /> � MGCHANICAL 5 � VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS [� ROOFING Q SPECIALIY � OTHER <br /> FINlSMED FLOOR EI.EVATIONS FLOOD XONE AR�A QYES QNO <br /> BUILDER COMPANY 1 � 1�1 � � 11k� .l'k�nt�. J 31 �- <br /> SIGNATURE REOISTRaED I N PEE CURR Y N I <br /> naaress 15AlI 3 3UI 7ade C+ FI 3 uanse# ��,329�^gZ <br /> Ei.ECTRICIAN COMpANY <br /> SIGNATURE REGIS'rEtt�D Y/ N FF� CURRENT ! Y I N <br /> AddreS9 Licen�E # <br /> P6UM9ER � COIAPANY <br /> 31GNATURE RB016T6RED Y/ N � FEE CURREN7 Y/ N <br /> Address �� # <br /> MECHANICAI, COINPANY <br /> iNATURE R&GISTEREp Y,l N FEE CURREN7 Y/ N <br /> Address ����� # � <br /> OTNHR COMPANY <br /> SiGNATURc RECIG'BRfD Y/ N FEE CURRENT Y f N <br /> Address <br /> Licen�e # � <br /> RE5IDENTIAL Attaeh (2) Pbl Plano; (2) 9ets ot BuNdInQ PWna; (1) aef oi Enargy Forms � <br /> Minimum fen (1� wOAcin� dsys Af1w eubmMfal delle. Requlled ontNe, Constructbn Plans, Sanitary FBClllties & 1 dumpster <br /> COMMERCIAL Alfach (3y sels af BuHdMg Plans; (1) �e! oi Energy Forms. <br /> Minimum ten (10) working dAys atter submiltal date• RBquired onsite, Constructbn Plans,�5anitary Facilitks 8 1 dumpster <br /> nll commerelal requiremenls must maet compllence. <br /> SIGN PERMI7 Aaach (2� eole of Englneered Plans. <br /> `""PROPERtY SURVEY requirod for al1 NEW coostructan. <br /> rectlons: <br /> FYI out eppliption mmploiey. <br /> Owner & ControCto� slpn EAdc of appllcatbn, nOtarizEd <br /> M over F250D, a Notteo of Commencem•nt Is requlred. (aC upgratJes over �5000) <br /> " A9ent (for the cOntracto�) or PoWer of AttomeY (for the OWf�er) WOUId be sOmeone wiM notariZ2d btter irom owner aufhoflzing same <br /> OV�R 7HE COUNTER PERMITI'ING (Front oT A�pliCStton Only) <br /> Reroofs Sowers Service Upgredes A!C Fences (Plot/SurvEy/Footage) <br /> Drlveways-Not over Countor if on public roadways.,needs ROW <br />