Laserfiche WebLink
- e�s-7ao-oo20 � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . , \ .�.' <br /> � <br /> J a(� Building Department �f'�lp` <br /> Date Received Phone Contact for Permitting -- <br /> AB�7F'�1P�!IAqpNll� ° p P ��' <br /> �r's Name � ,r Owner Phone Number ��, �' . �'J� <br /> � <br /> Owner's Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Flumber � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION � � � • - � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VVORK PROPOSED e NEW CONSTR � ADDlALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM �� OTHER f_—Q <br /> TYPE OF CONS'iRUCTION � BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK ' y� . ,� �� � '�, Zte� ;�� � <br /> BUILDING SIZE SQ fOOTAGE HEIGHT <br /> ¢CWOGN9u�u!09uulluV➢�VUUUamimiaoaoso�ouoaoaii�a�uooudnouuoamat�umtooaaaumii�m oo uaaoouua��m�o�unua�uupwo¢o�aou�ou�moam�oubMOOO itniommm�v���nmauu�uo�0000u a�mrauamnm�auii�uumumau�oo�uummuo�u��oa�aa�u�s2�uouA�uoouomiuBOU�omNOU a��pV�A�ua�u¢o�mououpgpllpp � mi I I�if�9�y9B9YU�IVC6S090G�E�PO�mI <br /> �� BUILDING $ � �� VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �� PLUMCiING $ <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS �� ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO <br /> E11BP�?99C'I,O�(B�IOWG99BVOQ�^'aa�E"�"���9BtPVIIII�A9B.piCE�B 9pBVVlla�&9��N9N aPIIFONVBNfi�AVOA9�B9� ���la��,��,;�'��IRtl.M�9�&�q Bh�'Ri 0.�RI fPY�@g9&GBL�1"�uB�F�P�6fip ul@fl�FdO^Ir'�i�'ei�6��:^1PU�0�?!!omuu4 m9o���9�kR9dCU�::�B�u�OPp�pll@BE�V6'GBVV6➢�'�6B@��a9oB�i9PLNB IIfl�G9�099PIVW'"I��'G.6�'�W09' �N9BCVCIW <br /> BUILDER COMPANY ��� �Ji� )��L,�j,►[�,G;�__ �JV1 c., _ <br /> SIGFIATURE REGISTERED I / N FEE� Y N � <br /> Address «�� �,�� �� �? �t �� 33�3 License# �(.(., i3�,`,jv�� <br /> ELECTRICIAN COMP,4NY <br /> SIGIVATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Acldress License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N ; FEE CURRENT Y/N <br /> Address License# � <br /> M1nECHANICAL CONiPANY <br /> iNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPAPIY <br /> S1ui�fiaTiJRc r,EC;eT�°�o , Y/ �! , FEE CUP.RENT Y/N <br /> Address License# <br /> "fiEEE6�"w�"V�0VV0998C VV9 � or i0�py�,�;�aen�noonwurepm4vNa;�y'� <br /> RESIDENTIAL Attach(2)Plot Plans; (2)sets of Building Plans,(1)set of�nergy Forms <br /> Mirir�um ten(10)working daks after submi!tal date. Required onsite,Construction Plans,Sanitary Facilities& 1 dumpster <br /> COMMERCIAL Attach(3)sets of Building Plans,(1)set of Energy Forms. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,,Sanitary Facilities&1 dumpster <br /> All commercial requiraments must meet compliance. <br /> SIGN PERIYiIT Attacli(2)sets of Engineered Plans. <br /> *"**PROPERTY SURVEY required for all NEW construction. <br /> �°°�C�➢CH�19d19 ' ' � 9C'l�.��C0�6i�7� n � � �J � � � ON�VllUtl�' '�9�U"'9Ci�1� ' iW�l <br /> rections: <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$5000) <br /> " Agent(for the contractor)or Power of Attorney{for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Fronf of AFplication Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage) - <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />