HomeMy WebLinkAbout20-22760 ` 1ST ROUGH PLUMB
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department J
Date Received Phone Contact for Permitting ??7
v�l
n /,//�� ( SIT- I cr
Owner's Name v t ez eS r3 Owner Phone Number " c�O
Owner's Address IJ .ZT y J T Owner Phone Number
Fee Simple Titleholder Name L Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS F73 9w o t LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK0 FRAME 0,p/ _STEEL =
DESCRIPTION OF WORK 5e C/`pp
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# I y� J ,
PLUMBER COMPANY C �'S / Z PG. wl ('
SIGNATURE n 1/ REGISTERED Y/ N FEE CURREN Y/N([
Address &Z(( B�ioO �/�161 /�i(, ,Z License# ��— �Y,),6
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&'1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
'SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign.back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles_ -Sewers•-,.... Service Upgrades,-A/C,, Fences(Plot/Survey/Footage)
Driveways-Not over CoUhter.if:on.public roadways::needs ROW
CITY OF " NOTICE / / BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRESS M
PERMIT f
3,voc? �-Tl 4y, 4 6.1y,
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
c
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-�02 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR