Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application . FaX-s�aaao-oo2� <br /> • Building Department <br /> Date Received ' ���` phone Contact for Permittin � � — �v <br />� Owner's Name � Q Z� �F�'/ �=, Owner Phone Number � 7� — <br /> Owner's Address �p T�a lp�" �f C , Owner Phone Number <br /> Fee Simple Titleholder Name G �r . �F z G �f/ Owner Phone Number <br />� Fee Simple TitleholderAddress ✓ ��� s�' %' 2�//� " �c.��L� /C(� 33��Z <br /> �� <br /> JOB ADDRESS 3�� �� �U�. Z �' �N��,'LLS F(� �J' ?j.S LOT# <br /> Z 0 <br /> SUBDIVISION PARCEL ID# �� ^ d D[ 0 — ? �j �Q—Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR � <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL � <br /> DESCRIPTION OF WORK ��n�� ��` ��T���� �jUN/G '�LE'J6YYl � <br /> BUILDING SIZE �w. SQ FOOTAGE� HEIGHT <br /> QBUILDING $ 2� t'Q� VALUATION OF TOTAL CONSTRUCTION <br /> J -1 l <br /> DELECTRICAL $ 1��. � AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.��2�-z� <br /> �� 7 <br /> �PLUMBING $ �Z� ' (,�j � , �� <br /> � <br /> �1�' � <br /> OMECHANICAL $ ` �� �p VALUATION OF MECHANICAL INSTALLATION ��'�'�S �� �a�� <br /> . ��` �'l <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> ��,c� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO ((� J� <br /> � <br /> �� <br /> BUILDER COMPANY l�'SZ 1 Z �IV S/'�.U�iTI �• �/ L <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y N <br /> Address P� ' p4X ��T�J 1 �l�� �L �J ��gj License# Ci Ci � <br /> ELECTRICIAN (j4��; ��/ r' COMPANY �• W• N�GJ��OGtI d",SON " (�� . � <br /> SIGNATURE ,/'y-��"^��"��� REGISTERED Y/ N FEE CURRE� Y/N S <br /> O S ZZ�( <br /> Address �5� � �'rG�� (�{i x�• � •�• L• F(. 3��0�� License# "C � 8 � <br /> PLUMBER COMPANY �� <br /> a�« LU , �- ,�- � <br /> SI�NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Z�{' . Il�� �� 1�}V� , Pi '� f'L�,J3��-icense# G F Ci Z/ � <br /> � , ,;- - ��� <br /> I MECHANICAL COMPANY � N I�IM�"�G ��R'T7/lr � CQOL/ � <br /> ��� <br /> SIGNATURE ' Re�isTeReo ,Y/ N FEE CURRE� Y/N ` ,�J / <br /> v.•�aoy <br /> Address ZZ� 1,. U�Z ' L�1�r F' 12/� � Z UTL, rt- �icense# � �►� "I ZZ �JO� <br /> � ��� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> IAddress , License# <br /> I 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I <br /> Sanitary Facilities&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 Forms,R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> **"PROPERTY SURVEY required for all NEW construction. <br /> Directions:• - , <br />� Fill out application completely. <br /> Owner&Contractor sign back of application,notarized . <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <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 PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br />� Driveways-Not over Counter if on public roadways..needs ROW <br /> ti ' <br />