|
$�s-�aaoaao � � � City af Zephyrhills Permit Application F�X- ' -z '=oa2� , ,
<br /> Building Department ,
<br /> Date Received �(?j r�$�„ -- rp�. -�
<br /> Phone Contact for Permitting
<br /> Owner's Name ����n' �`�'"G�" � Owner Phone Number �i ����2' y ���
<br /> Owner's Address 3��'3� �����' �Ve I ��n ��i�5� � Owner Phone Number� �
<br /> Fee Simple Titiehoider Name Owner Phane Number�� �
<br /> � , �
<br /> Fee Simple Titteholder Address
<br /> � 3`2�3� �leu�i�-( �vc, , ��' r�h�t��i (z. 335�2- �as# L.��
<br /> J08 ADDRESS
<br /> �.�'h r t'�=�d. t�... PARGE�ID# �3-Z10-21— bt3a—Oara��� l�.a
<br /> SUBDIVISION � � �
<br /> __ ' (OBTAINED FROM PROPERTY TAX NOTfCE)
<br /> WORK PROPOSED e NEW GONSTR e RQQ/A�T 0 SiGN CJ MOVE � DEMOLlSH
<br /> INSTALL REPAIR
<br /> PROPOSED USE ' 0 SFR, _ j [� COMM [� OTHER
<br /> TYPE OF CQNSTRUCTION 0 BLOCK � FRAME Q STEEL 0 OTNER
<br /> DESCRiPTtON OF WORK �-n 5-FLi,lt�c..-fi�vr�- c�-� �x7 �t AC'i t�� �t� �,c+r� �.. ��' � .
<br /> BUIGDtNG SIZE C�� SQ FK30TA6E�i � HE1fH'F �� � ,
<br /> � BUILDING �t{.��� �� � VA[.UATION OF TOTA�CONSTRUCTI4N �
<br /> �,.1.
<br /> � E�ECTE2ICAL �$ �) AMP SERViCE 0 PRC?GRESS ENERGY �] W.R.E.G.
<br /> i I
<br /> � P�UMB�NG �--- � , ��� I
<br /> (y ,��1
<br /> � MECHANICAL $ VALUATION QF MECHRNICAL INSTALLATION �
<br /> 0 GAS Q ROOFING C] SPECIALTY Q OTHER .
<br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA DYES ONO
<br /> 8UlLDER GOMFANY
<br /> � SIGNATURE REGISTERED Y I N FEE CUftRENT Y I N
<br /> � Address � License# ' _ �
<br /> ELEG'fRIC1AN ` GOIiffPANY �
<br /> SIGNATURE REGISTEREp Y/ N FEE CURRENT Y/N
<br /> Address License# � �
<br /> , � �
<br /> Pl.UMBER CONIPANY
<br /> SIGNATURE REGISTERED Y/ N. FEE CURRENT Y/N
<br /> Address License# �- ` � ,
<br /> IUtECHANlCA� , COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br />, Acidress License# �- - �
<br /> OTHEFt � �� i COMPANY �� �-c�`°�cl. e� �4b(-�, t ���' � '
<br /> StGNATURE "� REGtSTEREp Y N FEE CURRENT Y N
<br /> Aad���� 3�u�{�3 5 ��r ��t tsr �„ 33�f 1 t�cense# �.fl� �agosy��)
<br /> RESfDENTiAL Attach{2)Ptot Pians;(2)sets of Building Piarrs;(1}set of Energy Focros;R-O-W Permit for new canstruction,
<br /> Minimum ten(1d}working days after submittal date. Required onsite,Construction P(ans,Stormwater Plans w/Sitt Fence insfalied,
<br /> Sanitary Facililies&1 dumpster;Site Work Permit for subdivisions/large prajects
<br /> GOMIVlERGlA� Attach(3)sets af SuiSding Plans;(9)set of Energy Fatms.R-O-Vtf Permit far new construction. .
<br /> Minimum fen(10}working days after submittal dafe. Required onsite,Construcfion Pians,S#ormwa#er Plans w/Silt Fence insta(ted,
<br /> Sanitary Facilities&1 dumpsler.Site Work Permit for all new projects.All commercial requirements must meet compliance '
<br /> SIGN PERMIT Attach'(2}sets o#Englneered Plans. , ' •
<br /> "*"PROPERTY SURVEY required far alf NEW construction. � �
<br /> Dlreetions. . -
<br /> Fill out application completely. � ' �
<br /> Owner&Contractor sign back of application,notarized � ' ,
<br /> !f over$2500,a Nofice of Gommeacemenf is requ�red. {AtC upgrades over$5000}
<br /> "* � Agent(far the cantractor)or Pawer of Attorney(for the owner)would be someone with notarized letker from owner authorizing same
<br /> OVER TiiE COUNTE#2 PERMITTING {Frant of Applicatlon Only}
<br /> f2eroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> . � , -
<br /> Driveways-Not over Counter i#an pubiic roadways..needs ROW , , �
<br />" � ' �; ' �°� , � ' ,
<br /> -,a . � _ . - �
<br /> , _ , ....., _ _. '.. ,._ .,, , � � _, ., . .� _ � ' �, ,.
<br /> s'- -. , .
<br />
|