Laserfiche WebLink
t- : �•.�� ' s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recefved phone Contact for Permitting . - Q `� <br /> -���1`I T��-�- -- ----- -- - - --�-y--��� � - <br /> Owner's Name ��LI 1..� Owner Phone Numher <br /> f � IefY2 �2 <br /> Owner's Address � 1 1--. � ��Ow�one Number <br /> I <br /> Fee Simple Titleholder Name chm cl Owner Phone Number <br /> FeeSimpleTitleholderAddress (� 1� E/� •l l' v�� <br /> JOB ADDRESS VI 1 1 VL1� �JV LOT# � <br /> SUBDIVISION PARCEL ID# '��W� � rV D <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK \ '� I I J CP' <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ R2� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ 9J�� <br /> �U <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> �GAS R FING Q SPECIALTY � OTHER <br /> FINISHED FLO R ELEVA ONS FLOOD ZONE AREA OYES NO <br /> / <br /> , , <br /> BUILDER ���PANY `""'�^- J-- <br /> SIGNATURE REGISTERED � N FEECURRE� /N <br /> Address 1, License# � V J��� <br /> ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Altach(2)Plol Plans;(2)sets ot Building Plans;(1)sel of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construclion 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 Fortns.R-0-W Permit for new construction. <br /> • Minimum len(10)working days after submittal date. Required onsile,Construction Plans,Slormwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements musl meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br />, •"'PROPERTY SURVEY required for all NEW construction. <br /> Directions:• I <br /> Fill out application completely. ' <br /> Owner 8 Contrector sign back of application,notarized i� <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) � <br /> " Agent(for lhe contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (Fronl of Applicalion Only) <br /> Reroots it shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Foolage) <br /> Driveways-NOl over Counler ii on public roadways..needs ROW <br />