Laserfiche WebLink
; <br /> sta-�so-oozo City of Zephyrhills Permit Application FaX-e���eo-aoz� <br /> Building Departrnent <br /> ' Date Received �� �I Phone Contact(or Pertni 'ng — �� (� � ;+ <br /> OwnersName �L��� w ��+N� / e m r ' �'17 �/ <br /> �+ [J dq� �` � <br /> Owners Address -/ �-1 rl �„W��/J-�+ , Owner Phone Number <br /> Fee Simple TiHeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �l � � I�A M�� ��I�.r LOT# U� <br /> SUBDMSION RA►'� I�2a"'S ppRCEL IDIt ��f�ZJ'�1'Q) v����V�d� ��0 <br /> (OHTAINED FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED Neuv CoNSrn e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q � <br /> DESCRIP110N OF WORK �L � �N�r''�CWS S IZ�S � S I Z L �� w <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � `� <br /> � <br /> BUILDING $ ��bO VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � � <br /> QPLUMBING $ �n'�v �L� <br /> �� �_z� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� <br /> U� <br /> QGAS Q ROOFING Q ECIALTY Q OTHER l\_�S <br /> ! <br /> FINISHED FLOOR ELEVATIONS OD ZOf�E AR � QYES NO <br /> BUILDER ✓yI�,� �J C �MPANY � S�� ���'D ow 5 <br /> SIGNATURE d� a�clsreaEn Y/ N �cuaaen Y/N <br /> Address ��� oa�. fR��.awD r�a�PA 3 6�a ucense� L 1 �22 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REC,�S�ReD Y/ N FEE CURREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE RECIS�rtEO Y/ N FEE CURREn Y/N <br /> Address License� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuw�n Y/N <br /> Address License� <br /> OTHER COMPANY <br /> SIGNATURE REG�STEaED Y/ N PEE CuRREP Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111 <br /> RESIDENTIAL Atta�(2)Plot Plens;(2)sets of Building Flans;(1)set of Energy Farms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsBe,Construction Plans,Stortnwater Plans w/Sik Fence installed, <br /> Sanitary Fadfities 8 1 dumpster,Site Work Permk for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consUuction. <br /> , Minimum ten(10)working days after submittal date. Required onsRe,Construction Plans,Stortnwater Plans w/Sift Fence installed, <br /> Sanitary Faciiides&1 dumpster.Site Work Pertnit for eIl new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW consWction. <br /> DlrecUons:• <br /> Fill out applicabon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commeneement Is required. (A/C upgrades over§7500) <br /> " Agent(for the coMradar)or Power of Aflamey(for the ovmer)would be someone with notarized letter irom oVmer authorizing same <br /> OVER THE COUNIER PERM�Tf1NG (Front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSunrey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />