|
813-780-OQ20 City v Zephyrhills Permit Application Fax-813-780-002t
<br /> Building Department
<br /> p�tn Received
<br /> x Pho e Conkact for Permittin � --�a 9�"
<br /> Owner's Mame � � �nrner Phone Idumber /3�`�p�CJ(9.[�
<br /> C�nrners dlddress S� �� Owmer Phane Murnber � �
<br /> ��e Simpie Titlehotder tdame Ovim�r Phane tNuonber � �
<br /> �ee Simple Titleholder d4ddress.
<br /> Jt)�ADlD62�SS ��o l.OT# ��
<br /> _ �u����tS�c�� . �ARC��.�o� �'�'�Z�°,�I�-Ot`It�—C�Oa��-�QQCo
<br /> . , (OBTF111d�D FROM PROPERTY TAX MOTICE) ,
<br /> MlOR�C PROPOSED e NEW CONS7R At?D/ALT C,,,_� SiGN Q Q C}EMOLISH
<br /> INSTALL REPAIR
<br /> �RtOPQSED U5E Q SFR CQMM � OTI-fER rtiV�
<br /> ��lE OF COfdS7'IRUCTIOM Q BLOCK FRAME � ' STEEL Q
<br /> tdIE�CRi6'Tl�td OF M►06tK ('\�T'+C
<br /> IBl7iLlDiR!{'s StZE SQ FOOT CsE C..._�T� HElGl�!'T � �
<br /> g���'���G � � DL`� � VAWA7ION OF TOTAL CONST}ZUCTlON
<br /> QELECTRICAL � � AMP SERVICE � PROGRESS ENERGY Q Utt.F2,E.G. �
<br /> QPlUM81NG � � ' �'�1�
<br /> � `
<br /> �MECNANiCA� $ VA�UATIOfV dF MECNAMiCAL INSTALLATION
<br /> �GAS Q f2C1QFlNG SPECIAL'1'Y �� OTHEft
<br /> FIPIISHED FLOQFt ELEVATIONS FLQOD ZOfVE AREA [�YES IVO
<br /> IBUt�IQEFt COINIPAII�YY ��`�t (�t'l�i,�11�T���V
<br /> SiIGMATUFtE REGIS7ERED Y/ N FEE CURRE� Y/IV
<br /> s4ddress � / License# �4���.�7�p c�- �
<br /> lEILECTP2tC1ATd C�I�PAhSY
<br /> �SGId/\TI.IRE REGISTERED Y I I�) FEE CURRE� Y/IV
<br /> Addr�ss ' • License# �- �
<br /> 6'ILUI4���R GOMP�1fid�
<br /> 51GIdATURE REGISTERED Y I (V FEE CURRE� Y J Pd
<br /> Alddress License# �� �
<br /> M�CHAIdICAL� ' COMP�►idY
<br /> $IG�dATURE, REGISTERED Y/ N FEE CURRE� Y/I�
<br /> Address License# ��� �
<br /> OTHER CO(dlPAtdY
<br /> �__�S4,iMATURE REGI3TERED Y f N FEE CUf2REP Y I N
<br /> - - - _. ,_ ,,-�:� --- —4._ ___.______ ___ _ __ ________ _. _ — _..________�_ _._ _
<br /> dlddtess license# � �
<br /> R�S6DEidT1A1. Attach{2)Piat Plans;{2}sets of SuHdin�Plans;{1)set of Energy Forms;R-d-W Permit for new construction,
<br /> Minimum ten(10)working days after su�mittai date. Required ons�te,Canstr�ction P1ans,Stotmwater F'lans wl Siit Fence instaNecl,
<br /> Sanitary Facilities 81 dumpster;Site W�rk Permit for subdivisionsllarge projects
<br /> CO1NtMEEtC1AL Attach(3}eompiete sets of Bvilding Pla�s plus a Ltfe Safety Page;{1)set of Energy Fortns.fZ-Q-W Permit for new constructton
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w!Silt Fence installed,
<br /> Sa�itary FaciAties&1 dumpster.Site W rk Permit for all new projects.All commercial.requirements must meet compliance
<br /> StiGtd PERMIT Attach{2}sets af Enginaered P1ans. - ., .
<br /> """"PROPERTY SURVEY required for a I NEW construcdan.
<br /> pirections: .
<br /> Fill out appiication completely. �- ' "
<br /> Qwr�er&Contractor sign back of applicatlon,nota�ize
<br /> if over 5�500,a tdotice of Commencement is requi d. {A!C upgrades aver�7500} -
<br /> "" Agent(for'the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
<br /> C3NER THE Ct1UMTfR PERNf1TTFIdG {Front ot Appli tion Only)
<br /> Reroofs if shingles Sewers Service Upg�ades G Fences(PIoUSurvey/Footage)
<br /> .-. . . .. .,�,�u <._,� : --- ..� ,T....,u���«.�.x,.:.,,.M�_�;,..... �,.�.,:.�
<br /> Drivernrays-Not vver Counter if an pubiic roadways:�n eds RO.iN, : :';.• ., , �, `- �
<br /> .-, . . ;�,� �, ���;�"�':� r ,�):: 'i + :t,�' .r, F
<br /> .r,.
<br /> _ .t=c�i:t,...._ .x ? � ��4,, _. ,,_ .�i=3�.�i i
<br /> , , ,:�..,T . � "'.;W,';-'� � :, ..4�a .... ; .- �: � ..,., . -
<br /> .ae, -.v...�-.... ......i>.wrc.:4`�t+t� ":JY'�a�l';!.M"1+f)r.W.e y. ..�u,�irv H..Rrl':wC✓�... t � .... ,t ., v..+M....
<br />
|