Laserfiche WebLink
,r313.78o;aoza City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � � Building Deparkment <br /> f% <br /> DateRecetved _ _ � 1t . �- . � . �Phone-ContactforPermlttln ..,.. ...� .......�=--....�._<.. ._.._ <br /> ,, , •,. .. ;: , ��,.�.-� Q <br /> Owner's.Mame. , ,,� l Owner Phone Number- �'� t�`� � � <br /> y. ,_, •� <br /> � .. " _I,3Yr'.-^'...:.:: <br /> Owner's Address � ''�' %�-C�� Owner Phoiie�Nuinber � <br /> Fee Simple Titleholder Name � � Owner Phone Number � � <br /> Fee Simple Tltteholder Address <br /> JOB ADDRESS � �I Y e'�� .� 3°��'�(.c�' LOT# C_w.,� <br />� �Q . <br /> SUBDIVISION �('U� . �� � PARCEL tD# <br /> (08TAINED FRQM PROPERTY TAX NOTICE) <br /> WORiC PROPOSED NEw CONSTR ADD/AL.T Q SIGN Q C] DEMOL.lSH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q CQMM Q QTHER <br /> TYPE OF CONSTRUCTION [� BLOCK �] FRAME � STEEL Q <br /> DESCRIPTION OF WORK C. T' <br /> BUILDING SiZE �� �� $Q FOOTAGE� HEIGHT r__�� <br /> � <br /> �B�«"d��r' $ ���� VALUATION OF TOTAL CONSTRUCTION <br /> QEt,ECTRICAI � � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> oP��M�r�� C-- � �3�� <br /> QMECHANICAL $ VAI.UATION OF NiECHANICAI tNSTAL�ATION �� � <br /> I QGAS Q £20QFiNG Q SPECIALTY �'� OTHER <br /> FINISHED FLOOR ELEVATIqNS F1.00D ZONE AREA QYES NO <br /> BU1k�DEit COMPAAIY �"`� Ol.���' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRFCIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- � <br /> PLUMBER � CQMPANY <br /> SIGNATURE REGISTEREp Y/ N FEE CURREn Y/N <br /> Address License# �� � <br /> MECHANlCAL CCiMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> OTliER ,C{�MPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Addres�s LEcense# � I <br /> RESIDENTIAt. Attach(2)Plat Flans;.{2}sets of Buildi�g Plans;(1)set of Energy�Forms;R-0=W Pennl#for naw construction, <br /> Minimum ten(1Q)woricing days aftec_submittal date. Required onsite,ConstrucBon Plans,Stormwater`Plans w/Silt Fence installed, <br /> Sanitary Facilities�&�1..dumpster;Slte Work Pertnit for subdivislansAarge projects ._ <br /> C4MNIERClAL Attach(3}comptete sets of Buildirig Plans plus a Life Safety Page;{1}set of Energy Forms.R-Q W Permtt far new construc�on. <br /> Minimum ten(10)working days�after submit�l date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8�1 dumpstar.Site Wor1c Permit for all new proJects:All commercial requlrements must meat compllance <br /> SIGN 3'ERMlT Attac�i{2}se#s af Engineered Pians.. � <br /> `""'PROPERTY SURVEY required for all NEW construcUon. <br /> Dlreations: <br /> Fill out applicaUan completely. <br /> Owner 8�Contractor sign back of appficatlon,notarized <br /> If over 52500,a Notice of Commencement is rsquired. (AtG upgrades over 5T58p) <br /> " Agent(for the ecinVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TFiE GOUNTER PERMFTTING (Front of Apptication Only} <br /> Reroofs If shtngles Sewers Service Upgrades A/G Fences(PIoUSurvey/Footage) <br /> Driveways-M1to#over Caunter if on public roadways..�eeds RQW <br />