Laserfiche WebLink
" a��-�eo-ooso City of Zephyrhills Permit Application� Fax-813-780-0021 <br /> Building Department � <br /> Dats Received ' �� Phone Contact tor Psrmittln `} ! 3 � <br /> Owner's Nams �^( L /V L= � Owner Phons Number O� � - � <br /> Owner's Address D G 2� 57" o N `' Ownor Phone Nwnber <br /> Fee Simple Titleholder Nam N'r3 /L' =•t /�� � S Owner Phone Nunber Q 1'� �'� y- y'� �6 <br /> Fee Simple Titleholder Addross , 0 �� G k� S7D w ' J`'r <br /> tD W I ��.5� �� �7 LOT p� <br /> JOB ADDRE33 � � <br /> SUBDNISION �J1V E GrC' �ST 1'Y) H 6' PARCEL ID� <br /> (OBTAINED fROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e MSTALONSTR e � R T Q 51GN Q MOVE Q DEMOLiSH <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CON8TRUCTION [� BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTIONOFWORK G�C•LC�C.� JAI��',-;Q7k�� �Zar:r; � 1� �X.JKI�!'J(.�0,(,(,r�t.�.,- <br /> , � ,, P•t�tio povn ts1+�c�, <br /> BUILDING SIZE ,� X� S(i FOOTAGE �- � HEI(3HT d l0 )f I�S� <br /> ` BUILDING �,� �_. VALUATION OF TOTAL CONSTRUCTION � <br /> L�� � <br /> � ELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> Q PLUMBING $ �/� � �f <br /> v :.. �� <br /> C,: _. t <br /> Q MECHANICAL a� VALUATION OF MECHANICAL INSTA ION � � `�- � E <br /> / / � � �W l YG`� `� <br /> Q GAS Q ROOFtNG Q SPECIALTY Q OTHER _r��� ��j�k' � C� � <br /> �� <br /> FINISHED FLOOR ELEVATIONS � FLOOD 20NE AREA QYES � N E l---••---"`� <br /> • <br /> BUILDER v �,�; ��1 �. /e C�MPANY <br /> .. SIGNATURE REGIST�teD Y/ N CuRr�r� Y/ N <br /> C �__ <br /> Addnas Ucense # <br /> ELECTRICIAN � � � COMPANY L/ <br /> $IONATURE REGISTERED / CURRENT / <br /> Address Ucense # <br /> PLUMBER 1 COMPANY <br /> 91(3NATURE REGISTERED Y! N �E Curat� Y/ N <br /> Address License i� <br /> IiAECHANICAL � � " COMPANY <br /> 31(iNA7VRE REGISTERED Y! N FEE CURRENT Y I N <br /> Address Ucense # � <br /> OTHER � � COWIPANY <br /> 316NATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <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 aRer submittal date. Requlred onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary FaciUdes 8 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; ( t) set of Energy Fwms. R-0-W Permit for new constructlon. <br /> - " - ' • -- .+''__ n.__.....a�. ob,......./ Ctl� Ccnrn ineM11AA <br />