Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building DepaAment <br /> Date Received `� _ 2 7� � 2 V _ U� � o <br /> , Phone Contact for Permifting �1�1 ,� x��� 7J '�f-�,1�1Gvy <br /> -{''' ! <br /> Owners Name �.-p!�„ � �F ��{ � �,•pw, r Pho�e N mber � <br /> Owners Address�� � �!)��}l.l��L, <br /> ��n�Phone Number <br /> Fee Simple Titleholder Name � F e 1,"^ �1" 8 q� ���� <br /> Owner Phone Number D jr �( <br /> Fee Simple Titleholder Address � e E, <br /> JOB ADDRESS � � �Z� /7\RI��ET �V q�� , t f� <br /> LOT# ��r�t <br /> SUBDIVISION A PARCEL IDq ��."1�0'Z.�' OQ 1 O�01.{Op p- O O 'O <br /> � (OBTAINED FROM PROPERTY TAI(NOTICE) <br /> WORKPROPOSED NEwCONSTR� ADD/ALT � SIGN <br /> INSTALL REPAIR 0 �, DEMOLISH <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK FRAME � STEEL � <br /> DESCRIP110NOFWORK WI�ISTQ.J(,'� A,S�N��E SToR, G�tPA�IS�oIJ Tp �X�ST1��0 1�V��, . ����'�� � <br /> BUILDING IZE ��N`LE ST• gQ F�TAGE �� HEIGHT �I/ MAX <br /> ;;1�`( <br /> BUILDING $1'1�$'00 Q �VALUATION OF TOTAL CONSTRUCTION ��' <br /> T -ra.� � Z 7��,�x <br /> ELECTRICAL $ AhIP SERVICE'pb V � PROGRESS ENERGY � <br /> EF p W.R.E.C. <br /> PLUMBING g �� � � P I Q�S �� � �� <br /> � , 3 s�,f <br /> dMECHANICAL VALUATION OF MECHANICAL INSTALLATION { i7i �D�,y ✓ <br /> �.�- oJ . �) I <br /> QGAS � ROOFING Q SPECIALTY Y � I l �� 1/�C�� �n �j I�i�V«`�-lQ- <br /> �� . �� FLOOD ZONE A�—RE�A �THE�YES NO --- <br /> FINISHED FLOOR ELEVATIONS �' /V�`�G� CV�� <br /> � 3v�_t- C..�1 s'� r <br /> ` _ . c.h�-,+�c� <br /> �'�''`! I <br /> BUILDER COMPANY w A U.A1�,� �+�QTES � h� �l� <br /> SIGNATURE � '�� REGISTERED Y/ N FEE CURRE� � <br /> Y/N ��-t��tiJ �vt��` <br /> ' __ /wd►ass y3.� 17Q.. - L �'1, . . ETE FC.T211ce3ex CGC O'S83g�-1 <br />��j�12 �� �►� ELECTRICIAN � /�\' � r`�--�u��'1 <br /> q/ SIGNATURE /�.. COMPANY <br /> / ry� REGISTERED Y! N FEE CURRE� Y/N <br /> t �� ���.f.'� <br /> Addre83 <br /> � � -7�0�Qw/Z� # <br /> PLUMBER ��^1�� COMPANY �— <br /> SIGNATURE rr REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> r--- " License# <br /> �l� �� MECHANICAL �.(� /��� COMPANY <br /> ,� SIGNATURE V t <br /> � REGISTERED Y/ N FEE CURRE� Y/N <br /> t�� �a � <br /> � 3_-��,�,L�� Address � <br /> I License# <br /> OTHER �� � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. r Y/N <br /> Address <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Builtling Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construcdon, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVUCtion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commerdal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 I <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over j2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />