Laserfiche WebLink
, 81�780-0°�20 City of Zephyrhills Permit Application Fax-813780-0021 <br /> �,�wing oepartrner,t . , <br /> �t � <br /> Date Reoeived °— �� Phone Contact for PermiNin o�7 � — � 7 vZ� <br /> Owners Name D I�0� 7bl/S/�l/ �/�'�L.�� T/(,r� Owner Phone Number <br /> OwnersAddress �� .C,1!'� 7 y� ��'�'C/� OwnerphoneNumber C <br /> Fee Simple Titleholder Name � �/��r�� Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 � a ��e � �"v� LOT# � <br /> SUBDIVISION S���s�-'7- fST�'��a pqRCELID# �a-a6-ai o3�o-v��oo --o y6c� <br /> (OBTAINm FROM PROPERTY TAX NOTIG� <br /> WORK PROPOSED e NEW CONSTR 8 ADQ/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR � COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL O <br /> oescRiPnoN oF wowc �c e m o�JeL- <br /> BUILDING SI� SQ FOOTAiGE S-�� HEIGHT <br /> U���� a � �' VALUATION OF TOTAL CONSTRIICTION <br /> QELECTRICAL $ 3/G � � AMp�SERVICE Q PROGRESS ENERGY Q W R.E.C. <br /> OPLUMBING a C- � � /�v� <br /> 3 av v � i� � i� <br /> Q MECHANICAL a �r ID� VALUATION oF MECHANICAL INSTALLATION�— n�/f� <br /> .� � �� � <br /> QG� Q ROOFlNG Q SPECIALTY � OTHER <br /> FINISHED ROOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> B���R �`��� �/I / L� �1' <br /> SIGNATURE LJ�%�r/!!/!/(/(/ � l COMPANY CD✓e�'V�"I� �✓YI{'YIl�I'ril�!1..°S,ZK�' <br /> REGISTERm / N FEE CURRFl•I Y/N <br /> ,addre� 03,? e lcr�`erw L�P, �r�,�i��zlr Ft� y6-s y uce�� C�3 C l,� SGo��✓ I <br /> �, „ �(. <br /> e�crniciar� f �, �JCOMpANY /-� e�e �'Le�i c Ci.c <br /> SIGNANRE R[��srez� N F�cuRr� Y/N <br /> Addreas 4�7 CrtaG �,� A/.Qll��`1'S12'al�Cl�!! � license!� �/'� /3 C�� y fj ��' <br /> � <br /> /)' � , / F <br /> `���/,� /i„/. /� � �) COMPANY CDI/��`L/� CD�?/I�'I���� T � <br /> SIGNATURE _ ,� (/''�� 1/iT/ REGISTERID Y N FEE CURf2EN Y/N � <br /> Add ress 0�/ La�t/)v�, /-� I. �7(� I_ic.�ense# �C /�{4� ��/� <br /> r <br /> MECHANICAL � i COMPANY /)') � CONfJlT BNf N� <br /> SIGNATURE REC�srERm N FEE CURREN Y/N <br /> Address 936C �av�,4�e t�e 1V�P,�G[. ,3�{6 s� uc�r�# C'�� i �� �G/�`6 � <br /> OTHER COMPANY � — � CFlYr�-MtM4� <br /> SIGNATURE rt[-Gisrstm Y/ N FEECURRBJ YJ N „��,, �� <br /> �►ddress 11 ..S ✓v)��tE'BWp N�'��L � �.��f ucense# ���"1�C��-- 99�7 <br /> 111111lIIIIIIIIIIIIIIIIIIIIIi1111111111111111111111111111N111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)s�s of Building Plar�;(1)set of Energy Forms;R-O-W PertnR for r�w construction, <br /> Mir�imixn ten(10)woridng days af6er submittal date_ Required onsite,Construction Plans,Stortm�ater Plans w/SiR Fence installed, <br /> Sanitary Fac�ities 8 1 d�rnpster;Site Worlc Perm�for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildins�Plans plus a Life Safely Pa�e,(1)set of Ener�pv Fortns.R-0-W Pertnit for new construction. <br />