Laserfiche WebLink
I <br /> a»-�so-oozo City of Zephyrhilis P rmit Application Fax-873-780-0021 <br /> • Building Dep rtrnent <br /> . <br /> Date Received phone Contact for Pe itting — <br /> Owners Name Owner Phone Number 813-77 - 251 <br /> OwnersAddress 37411 NEUKOM AVE OwnerPhoneNumber <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TideholderAddress <br /> JOBADDRESS LOT# � <br /> SUBDIVISION GRAND HORIZONS PARCEL IDq <br /> (09TAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED e NEW CoNSTR B ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK RE-ROOF SHINGLES ON M BILE HOME <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ 5,830.00 VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ��� <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � \� <br /> QGAS Q ROOFING � SPECIALTY O7HER <br /> FINISHED FLdOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> BUILDER J�V10�Ll�Gq11J COMP r TLC ROOFING LLC <br /> SIGNATURE r�GIS D Y/ N F�cua�n Y/N <br /> address PO BOX 1745 DADE CITY FL.33526 ucense� CCC1328205 <br /> ELECTRICIAN COMP Y <br /> SIGNATURE REGISTE ED Y/ N �cuw�n Y/N <br /> Address License� <br /> PLUMBER COMP <br /> SIGNA7URE REGISTE ED Y/ N F�cua�n Y/N <br /> Address License# <br /> MECHANICAL COMP Y <br /> SIGNATURE r�cis D Y/ N FEE CuruiEn Y/N <br /> Atldress License� <br /> OTHER COMP NY <br /> SIGNATURE �cls� o Y/ N �cuwxEn Y/N <br /> Address License# <br /> IIIIIIIIIItllllllllllllllllllllllll IIIIIIIIIIIIIIIIItllllllllllllt <br /> RESIDENTIAL Ariach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Fortns;R-O-W Pertnit for new consUudion, <br /> Minimum ten(10)working days after submittal date. Requi d onsite,ConsWction Plans,Stortnwater Plans w!Silt Fence instalted, <br /> Sanitary Facilities&1 dumpster,Site Work PermR for subdi sions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safe Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)warking days after submittal date. Requi d onsite,ConsWction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanifary Facilities&1 dumpster.Site Work Pertnit for all ne projects.AI!commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets M Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructio . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contrador sign back of applicadon,notarized <br /> It over SZ500,a Notice of Commencement is required. (A/C upgrade over a7500) <br /> " Agent(for the contractor)or Power af Attomey(for the owner)vrould be s meone with notarized letterfrom owner authorizing same <br /> OVER THE CaUNTER PERMITTiNG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgradas A/C Fences(PI t/Survey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />