Laserfiche WebLink
�7 �s�-ooa/ <br /> a � , eia-�saoo2o City of Zephyrhills Permit Application Fe� <br /> Building Department <br /> . Date Recefved ' phone Contact for Pertnitting � <br /> TTTr1T n-- <br /> , Owners Name � 'F �v►� !�Y � � L Owner Phone Number b��` /b� - � <br /> Owners Address S! 6 �/�-�'��� L(ld � Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS S�� CNT OdV �� LOT# � <br /> SUBDIVISION I51�51 W PARCEL ID# O�-a Lo -�1 -Uo���oeQo'�� <br /> (OBTAINE�FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED NEW CoNSrR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �I�/-bIV C � ��-�1�� ul�r`'C ���� <br /> BUILDING SIZE S�FOOTAG � HEIGHT � <br /> QBUILDING $ V LUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ,�PLUMBING $��/!1,7� <br /> CJ <br /> QMECHANICAL $ V LUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> -1� ' ' 7--0 6��1--1 i-i�Fi�F�P i-I�F�i 1 FF7-f f L 7 1 1 7 1 F <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# r <br /> (�• 1/A CY,6�9� <br /> PLUMBER A�]p�f/ " COMPANY f,�l� Korn� r�Sn, �vC� �/SL��LP� ��I�'�� <br /> SIGNATURE "_l�T� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� � 7 � //w�� �� Licens��# l� l:-V`7 `1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> 1111111111111111111111111111 111111111111111111111111111111�11111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PI s;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work ertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)comptete sets of Building Plans pl s a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work ertnit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for atl N W construction. <br /> Directions: <br /> Fill out appiicaUon completely <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over$250D,a NoGce of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the own r)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatio Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs OW <br />