Laserfiche WebLink
si3�so-oozo City of Zephyrhills Permit Application Fax�137&10021 <br /> s�admg oeparaneM <br /> Daoe Received Phone Confaet for Perm- - ��' ��� -- ���� <br /> Owne�'s Name �,��{V1CjL (/i1 �lCi Owner PAone Number <br /> Owners Address ��i al.� u.(�<�4n� ��.�j go3 Owner Phone Number � <br /> Fee Simple Titleholder Name �- Owner Phone Number � <br /> Fee Simple Titletwlder Adtlress <br /> JOB ADDRESS I � Z t S� � LOT# C� <br /> SUBDIVISION PARCEL IOf 1�a-a6-a�- �- v`rYo c"- ���� <br /> (OBTAM�FRaA PIlOPBl7V TA7(N0710E) <br /> WORK PROPOSm � NEW CONsiR e ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER --1 <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q SfEEL Q <br /> DESCRIPTION OF WORK G'v S/F ��� <br /> BUILDING S¢E `7 V� SQ fOOTAIiE ��7 HENiHT aa� <br /> �BUILDING S i�� �^n yq�UAT10N OF TOTAL CANSTRUCTION <br /> l �/�' <br /> QELECTRlCAL S AMP SERVICE Q PROGRESS ENH2GY Q W.R.EC. <br /> �PLUM6ING S / <br /> �MECHANICA� E VALUATION OF NIECHANICAL INSTALLATION �1 ��� b <br /> QGAS Q ROOFING Q SPEGALTY Q OTHER <br /> FlNISFiED FLOOR ELEVA710NS FLOOD ZONE AREA QYES NO <br /> �,�,.� COMPANY Cov��%�t'n�7 �rn E S �.v�� <br /> SIONATURE � REGISTERED Y/N �E cuRRBI Y/N <br /> aaare� �0�3`i {�i� Can�c;n (Jf N R I'L3K66 �;�„�a ��C. i2.S�Ob3�� <br /> ELECTRICUW COMPANY �17OV1 �Ll. �-�i-� i'�"`' <br /> SIGNATURE �c,u�EReo Y/N FEE CURR@I Y/N <br /> �wa.� 17d� (:ec�cl,roan Pi�.2e� �-ka-c�.�,� �:�� -R l�� (� 3 <br /> PLUMBER COMFANy �O�EN/�'/�'�� .�Q(1II.S �/L/L <br /> SI(3NATURE REGISTERED Y/ N FEE CURREN Y!N <br /> naaress �v33`� 1�k It��m (J�' /l/PP. r2 '-iGS�I ���# CFLI`{a�N�/'�� <br /> MECHANICAL � �J ��+Y 0�'� Y�m E ��- ���- � <br /> SIC;NATURE �` �l.,_ REc�si�m Y!N �alwtBi Y/N <br /> Atltlress � J�ob �.'� GJ t.C.�l S' � Licer�se#��lL �O�f011�� <br /> OTHER �ppNy Cav��v�iv�- No�I;S �✓v�-- <br /> SIGNATURE REGISTERED Y!N FEEWRREN Y!N <br /> e,aa� 10 G c l.c�+rrl�e�� �� NP ��n C�-�-13�,c1�53�7 � <br /> � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � <br /> RESI OEHTIAL Atfach(�Pbt Pla�;(�sels af Building Plaris;{1)set af E�ergy Fomis:R-O-W Pertnit Tor ne,w oonstruction, <br /> Minimum ten(10�vweldnB daYs atFer suAmtlal da6e. Requ�ed a�sie,Co�truction Plans,SLwrrMater Plans vJ Sik Fence irn,�alled, <br /> SanRary Faciities&1 dumps6er,SfEe Work Partni[lor wDdMsio�llarge Projecis <br /> COMMERpAL Attxh(�oompleUe se�d Buildmg Rans plus a Life S�fetY P'age:(1)set d Energy Forms.R-O-W Perrtr[ior new oonstiuction. <br /> Minimrm mn(1�workirg days a�er suemilal aafe. Re�,.ed or�.construaion Plans.StormwaLer Plans w/silt Fence ir�ta�led, <br /> SanRary Fadities 8 1 dumps�er.SNe Wark Pemit ior aH naw prajects.AN commaraal requiert�enls m�s[meet compiance <br /> SIGN PERMR Attxi�(�sUs aF Engineered Plare. <br /> ""PROP92TY SURVEY re�ited fw aN NEW�uction. <br /> Dir�actioos:• <br /> FA art application oompletely. <br /> Owne�&Cm6achor sign badc of appiication.ralar¢ed <br /> If ovar t230U.a Nofioe of Commaneemerrt is raquiretl. (A/C uppradas over t7300) <br /> " Aserrt(ror n,e contraom.>or Power or nmorney(ror me wN,e�No�d be snrreane wim naar¢ed le�.Lom otiner au[normng same <br /> OVER THE ff�t/NfER PERMI'TTING (Frort d Applic�ion Onl» <br /> ReroWs rf shingles SeNers Servioe Upgratles N'C Fences(PIotlSlirvey/Fodag� <br /> DrivewaysNot wer Countar if on pubkc roadways..needs ROW <br />