Laserfiche WebLink
r— _ � — � <br /> 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> � � � <br /> Date Recelved . �.- Phone Contact forPermittin � �' — � <br /> Owner's Na e '�R���w a d� Co��o�^�'`�°�`�"`' Owner Phone Number <br /> � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Tltleholder Name- Owner Phone Number <br /> Fee S(mple Titleholder Address �C �f`��v���t1� �L <br /> JOB ADDRESS ���� U � I � �, �Q�Q C Z C'�p# � <br /> SUBDIVISION, ' PARCEL ID# <br /> . (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R B � ADD/ALT 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 /> DESCRIPTION OF UYORK� �v�''+ ��f�°ue- �r��1 os u�e 81 n c� w�Wz-K— <br /> BUILDING SIZE' `SQ FOOTAGE�. HEIGHT <br /> QBUILDING � $5� �yo,� .VALUATION'OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY �Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q •ROOFING Q SFECIALTY Q 'OTHER' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �P��£" ��ba�rc. n��s o�.�ie y !� <br /> BUILDER �j/J COMPANY <br />' SIGNATURE '-/ � �� REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# ' ' <br /> , • <br /> ELECTRICIAN: COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � ' <br /> Address Ltcense#� - <br /> PLUMBER , , , COMPANY. • - <br /> SIGNATURE Re�isTeREO. Y[ N FEE CURRE�`;, Y/•N ' <br /> Address . License# �• - <br /> MECHANICAL _COMPANY � - <br /> SIGNATURE ' ' ' REGISrEReD� ,.. Y/ N . � , FEE CURRE�,= s Y/N. <br /> Address ' •� �• ' � � License#... <br /> OTHER ` COMPANY <br /> SIGNATURE � -° RE�ISTERe� " Y/ N FEE CURRE� - Y/N <br /> Address � � � ''License# <br /> RESIDENTIAL ,.��Attach(2)�PIot,Plans;�(2)sets:of:Building':Flan"s;'(1):sef of Eneigy�Forms;R-O=VU Perrnit for new construction, " <br /> Minimum ten,(.10)working day_stafter:submittaPdate:`Required on§ite;_Construotion�Plans;Stortnwater Plans w/Silt Fence installed, <br /> ° Sanitary Fac111tles&.1 Adumpster;�S(te;Work Rermit for.subdiyisfons/large proJects-,: •'" <br /> COMMERCIAL Attach(3)complete sets ofBuilding Plans�plus a�Life'Safety-Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,ConstrucGon Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpster.Site Work Pertnit for all new,projects:�All commercial requlrements must meet compliance <br /> - _ --�IGM-PERM6T Attach(2)sets of-Engineered,,Plans.: :� _- _ - -: _ -.. - .. - •— - --, ___ -- - - _- - - <br /> ""'PROPERTY SURVEY required for�all NEW construction. <br /> )irections: - ,. . <br /> Fill out applicaHon completely. <br /> Owner 8 Contractor sign back of appl(catlon,notarized <br /> If over 52500,a Notice of Commencement Is requlred. (AIC upgrades over 57500) <br /> '" �qent(for the'contractor)-or Power of Attomey(forthe owner)would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITTING., _�(Front_of.Application_Only). . � <br /> �eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on publfc.roadways.:ne'eds ROW' � � <br />