Laserfiche WebLink
; ei��eo-oozo City of Zephyrhills Permit Application Fax�1&760-0021 <br /> ' Building Department <br /> Date Received / � S < S' Yr $� <br /> Phone ConWctfor Pertnitting <br /> Owners Name �ii I` �� ��� lr V�'� ���✓ Owner Phone Number <br /> Owners Address (�'f��� �"1 � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> FeeSimpleTiUeholderAddress �`�C`J'V � �UQ �� 1 D � � �'i���-�/l.� '� <br /> � � �JOB ADDRESS ��Q V�L�' � LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OHTAINED FROM PROPERiYTAX NOi10E) <br /> WORK PROPOSED e NEW CoNSfR 8 ADDIALT 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 Q STEEL Q <br /> DESCRIP710N OF WORK �1.91 � ��IC_.- S `� � ' s'�'� L��� �'��`�' �T ��Z� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � ��� 7 <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $� � AMPSERVICE�Qp � PROGRESSENERGY Q W.R.E.C. p ����1„Q <br /> ,/y . �`/_� �i�^� <br /> QPLUMBING $ ��"�`��D � �� ` <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �(�� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> �� ��� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� <br /> � ., <br /> BUILDER COMPANY <br /> SIGNATURE �cis�rtED Y/ N FEE cUru�n Y!N <br /> Address License� <br /> ELECTRICIAN — � � COMPANY �� �^\ I�� � � �"'L'L"' <br /> SIGNATURE REGISTERED Y/ N F�cuw�n Y/N <br /> Address � �� c�� PL � ieuie� �" License� +������� <br /> PLUMBER COMPANY <br /> SIGNATURE rtECis��o Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE aFCis�aen Y/ N F�cuw�n Y/N <br /> Address License# <br /> OTHER COMPANY • <br /> SIGNATURE REGISTERED Y/ N pEe cuaRen Y/N <br /> Address Lice�se# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Woric Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcfion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanifary Facilities 8 1 dumpster.Site Work Pertnit for all new projecLs.All commercial 2quirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consVUCtion. <br /> Directians:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (Front of Applica6on Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />