Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — �17j `��j2 _ �j�'� <br /> Phone Contact for Permitting <br /> Owner's Name �1 i..i... C.��W�i t� �I I�xR-�� �i`k-' Owner Phone Number ��'���� <br /> Owner's Address � ZZ�`�' ��'-��OS CLV2+�1L �0��I Owner Phone Number <br /> Fee Simple Titleholder Name Si�f�.`c- Owner Phone Number <br /> Fee Simple Titleholder Address S��-�- <br /> JOBADDRESS ���`'1� ��U-�1-�1U: ��P� �I'���-1-5 LOT# � <br /> SUBDIVISION ��A . PARCEL ID# ��'�-�o'"Zti' �a��'� �b4:cG--02.`�O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL � Y REPAIR <br /> PROPOSED USE Q SFR � -_ COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK � •— FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Iv ` GD�C1- i IvT�t2,\u�'��.(��� ���i� �,��vP� <br /> BUILDING SIZE �� X �`�' SQ FOOTAGE ���`��t HEIGHT 1����V--S <br /> �BUILDING � �-7 O� �� VALUATION OF TOTAL CONSTRUCTION <br /> 6 � � <br /> DELECTRICAL $ N� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> ��� <br /> �MECHANICAL $ � � VALUATION OF MECHANICAL INSTALLATION <br /> J � �2 ���1�`� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � <br /> N�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N��� �1�/ �I�,�� <br /> �'� 'b L <br /> BUILDER � ' `�� COnAPANY �y���l Gc=NS-r�,�.c:r�t oF ��nfl �, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �-17a S '� Nl�i�S License# C,�.�,1�\`1 Vl l 2 <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER •�1 � COMPANY <br /> SIGNATURE ��t REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL l` � COIIflPANY <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER �� COHflPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREA Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wor{cing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans.plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance I <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction, i <br /> � <br /> .,����,.����������������,���� � <br /> �� � 1 f li l�1 J.L.LL 1 1 1 L 1�1J.L! <br /> Directions. <br /> Fill out application completely. <br /> Owner 8�Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERBAITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) _ � <br /> Driveways-Not over Counter if on public roadways..needs ROW � � <br />