Laserfiche WebLink
s�s-�sa-aa�o �ity o�Zephyrhills Permit Application Fax-813-784-0029 <br /> Suitding Department <br /> Date Received �e'.� �c�a� _ ,�G��� <br /> Pho e Contact for Permittin <br /> Oevner's Name �!1�,t�'/t/� f3 �� ��j� pwner Phone�tumber �i��` �'���Ql"��. <br /> O+,�ner's Address f0�7�.rJ�f�/ �f`2 (.,°ti' ���� Owner Phone idumber �� � <br /> Fee 5imple Titleholder Name �� Owner Phone Rtumber �— � <br /> Fee Simple Titleholder Address ' � <br /> � <br /> Jt38 ADDRESS tL`��t3 GLhIl r�' "� ��7/� ,� ,��'� LOT# �_�� <br /> _ _sueo�v�sto� _ __���' �Jcaav�� pattc���o# Do'� �.� Oa2/D d11G� !,�l� <br /> - '�—.� �_rv - '(OBTAIPJED FRONi'PROPERTY TAX NOTICE) -� -- _ _._.__- <br /> HNOl2lC PROPOSED New co►�srR ADD/ALT � SIGN [� � DEMOLISH <br /> � (NSTALL ' REPAIR <br /> PROPO�E[!USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTIOM Q B�OCK Q �FRAME � C� STEEL Q <br /> DESCRtPTION OF WORK �� �°�'7�}'11��[►—t'.�1R-L✓ °' c� �LT 1V " � t.._ lS1V�'��5 <br /> �_ .,�._,.,_. <br /> St71LD1N�StZE �i � SQ FOOTAGE�� HEIGN7 <br /> QBUILDING $ �! � VAl.ilATlON OP TOTAL CONSTRUCTl4N ' ' <br /> �]ELEC7RICAL ($ � AMP SERVICE 0 PROGRES�'ENERGY C] W.R.E.C. <br /> � <br /> QPLUMBING ��� P � �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL tNSTALIATION ���� " <br /> ���� � <br /> QGAS Q ROOFING �J SPECIAL7Y �� OTHER <br /> FIMISHED FLOOR ELEVATIONS ��.— � FLOOD ZONE AREA QYES NO <br /> BUt�DER COMPARlY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address �icense# �_ � —� <br /> IELECTf2tC1AM COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �Icense# �ii��`� <br /> P�UMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �+ �r�� <br /> I�IECHAIVICAL ^ � COR�IPANY �+��H�S �/'D,-�A�/�I� ����� �I�'i <br /> SIG(dATURE Q��' C�'j��"f? REGISTERED Y I N F6E CURRE� Y I N <br /> Address ��"T� ��1�'1� P�G1''y ��7��15 ��• ticense# �`�D��Q/T� � <br /> OTHER COMPANY <br /> SIGNATURE � Rec�sreReo Y 1 tV FE6 CURREh Y/N <br /> Address License# ��! �� <br /> RESIDENTIAL Attach(2)PIot.Plans;(2)sets of Buildin Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer su mittal date. Requlred onsite,Cansttvctian Pians,Starmwater Plans wt Si(t Fence insta(led, <br /> Sa�itary Facilitles&1 dumpster,Site W�ric Permft far subdivisions/large projects <br /> COMtYlERC1AL Attach{3)complete sets of Building Plans plus a Life 3afety Page;(1)set of Energy Forms.R-Q-W Permit for new construction. <br /> Minimum ten(10)working days after suamittal date. Required onsite,Construction Pians,Stormwater Pians wl Siit Fence instatfed, <br /> Sanitary Facvlitles&1 dumpster.Site V�pric Permit for a!i new projects.Att commercla!requirements must meet compliance <br /> S(GN PERMIT � Attach{2)sets of Engineered Plans. <br /> '""*PROPERTY SURVEY required for III NEW constructton. <br /> Qirections: " <br /> Fill ouk application completely. <br /> Owner&Con#ractor sigrt baok of apptication,notarize <br /> 3f over b2500,e Natice af Commencement is requi d. (A!C upgrades over 57500) <br /> *• Agent(far the contractor)or Pawer of Atkomey{for th owner)would be someone with notarized letter ftom owner authorizing same <br /> OVER THE COUNTER PEltMiTT!!�G {Front af Appli• tion OnIy1 <br /> Reroofs if shingles Sewers Service Upgrades i C- Fences(PIotlSurvey/Footage) <br /> Driveways-Not aver Counter ff on pubiic roadways..n eds ROW <br />