Laserfiche WebLink
. 813-780-0020 City of Zephyrhills Permit Application Fax-s��-�eaooz� <br /> Builtling Departrnent <br /> Date Reeeived (p � 9' -Z0�� � 7 S —G G <br /> Phone Contaet for Permfttin <br /> Owners Name T/'f �iL 7�E �� Owner Phone Number ��7 �7f�`S3G,? <br /> Owners Address 7 / � �(/����C,�� Owner Phone Number <br /> Fee Simple Tltteholder Name Ownar Phone Numbar <br /> Fae Slmple Tideholder Address <br /> JOB ADDRESS � !//�c,� Cl/t�GE .�ij /�/ LOT# � <br /> SUBDIVISION ��/ffr/�/ �/lj� PARCEL ID# 3S- S"- � B dL?'lG�'B�G� <br /> (OBTAINED FRON PROPERTY TAX NOTIC� <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK va G a L A,�/�G Q�v� ,J d� �/fi/Q�j� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING 5 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ����b, <br /> MECHANICAL $ ��j1r�j p VALUATION OF MECHANICAL INSTALLATION <br /> fl <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE r�Gi57IIt� Y/N FEE CUw�n Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNAiURE REGISTERED Y! N FEE CURRF7� Y/N <br /> Address Llcense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERm Y/N FEE CURRFA Y/N <br /> Address Lice�se� <br /> MECHANICAL COMPANY � G�BIi�//I� <br /> SIGNATURE REGis�en N F�cuarte� Y/N <br /> Address License� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERm Y/ N �cuwt� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllltllllllllltlllllllt <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Farms;R-0.W Pertnit for new construction, <br /> Minimum ten(10)wotking days after su6mittal date. Required onsite,ConsWdion Plans,Starmurater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster,Site Work Pertnit far subdivisions/large projects <br /> COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life SaTety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commerGal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEVV constniction. <br /> Directions:• <br /> Fill out applicatlon completety. <br /> Owner 8 Contractor sign back of appl(cation,notarized <br /> If over SZ500,a Notlee oi Commencement Is requlred. (A/C upgrades over 5750D) <br /> " Agent(for the contractor)or Power of Attomey(for the owne�would be someone wffh notarized letter from awner authoriang same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroois if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pu6Pc roadways..needs ROW <br />