Laserfiche WebLink
813-780-Op20 City af Zephyrhills Permit Application Fax-813-780-0021 <br /> Bu�lding dega�ment <br /> Date Recelved 2$' �� Phane Contact far Permltt#ng – <br /> a, <br /> Owner'�Name �- i�F d� � � f��� � Owner Phone Number <br /> Owner's Address �33 ���' �� Owner Phone Number � � <br /> Fae Simple Titleholder Name �^ —� Owner Phane Number � � <br /> Fee Simple Tltleholder Address <br /> JOBADDRE3S C� �✓"���b ��e����"r LOT# �� <br /> SUBQIVtSION �"� ���h U����t��� PARCEL ID# <br /> (OBTAINED FRdM PROPERTY TAX NOTICE) <br /> WORK PROPt3SED e NEW CONSTR 8 ADD/ALT � SIGN Q Q pEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR [� COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEI. Q <br /> DESGRIPTIbNOFWORK R►�SF�+�I l��„� Me�''"!' dr�trr,o, �' r, L S Cma <br /> BtlILDING SIZE �� � SQ FOOTAGE C_� HEIGHT <br /> QSt1!l.DiNG � � VALUATION OF TOTAL CONSTRUCTION <br /> [L�ECTR{GAL $ AMP SERVECE � PROGRESS ERlERGY Q 1N.R.E.C. <br /> _i <br /> QP�UMSING <br /> �,_� <br /> QMECHANiCAI � � VACUATtON OF MECHANICAC INSTAILATiON <br /> QGAS Q ROOF[NG � SPECIAI.TY �� dTFtER <br /> FINISHED FL.00R ELEVATIQNS � F1.00D ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE �, . ,_. ,,,.,� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> ELECTRICIAN �w�'��� ,���'"'-��""e"�~ COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> .,,.....,, r�, <br /> Address License# �� � <br /> PCUMBEl2 CBMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> MECHlW1CAL � COMPANY <br /> SIGNATURE . REGI87ERED Y/ N FEE CURRE� Y/N <br /> Address Liaense# � � <br /> OTMER � COMPAfi�tY <br /> SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N. <br /> Address �icense# �— �� <br /> RESID6NT4At. Attach{2)Plot Plans;(2)sets af Bullding Plans;{1)set of Energy Forms;R-Q-W Permit for new construc�an, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construation Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge proJects <br /> COMME42CtAL Attach{3}complete sets af Buitding Plans plus a LiFe Safety_Paga;{1}_set of Energy Forrns.R-Q-W PermEt for new ranstructton. <br /> -- Minimum ten(10)working days after submittel date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties 8�1 dumpster.Site Wqrk Permit for a0 new proJects.All commercial requl�ements must meet campNance <br /> SIGN PERMIT Attach(2}sets af Engtneered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> dlrectlans: <br /> Ffll out applicadan wmpletely. <br /> Qwner&Contractor sign back of app!(cation,notarized <br /> If aver�25�0,a Notiae of Commencement is required. (AlC upgradas over S75d0) <br /> " Agent(for the co�tractor)or Power of Attomey(for the owner)would be someane with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application 4nly} <br /> Reroofs if shingles Sewers Service Upgrades A/G Fences(PIoUSurvey/Foatage) <br /> Driveways-Not aver Caunter if on public roadways..needs RQW <br />