Laserfiche WebLink
._ <br /> . • s��-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , 'i Building Department <br /> Date Received phone Contact for Pertnftting <br /> 'l-t 1 1'1 1 1-�- - - -- -- - - -�-�-�-�-� -- <br /> p r A C <br /> Owners Name (,° /� Owner Phone Number � " ✓ � � <br /> Owner's Address oC.7 J�Q -J C ✓7 �!�►�t 3 Owner Phone Number <br /> � <br /> Fee Slmple Tltleholder Name �c» Owner Phone Number <br /> Fee Slmple Tltleholder Address �U S S-1 �K7Z. / 335 <br /> JOB ADDRESS � �1., / . ���T LOT# G !( <br /> SUBDIVISION W! � PARCEL ID# dL� 'C/O 'Q Z '� <br /> (OBTAINED FROM PROPERTY TAX NDTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR C COMM ��OTHER <br /> TYPE OF CONSTRUCTION d BLOCK Q FRAME 0 STEEL Q <br /> �t <br /> DESCRIPTION OF WORK � I <br /> BUILDING SIZE ,J � SQ FOOTAGE //�/D � � NEIGHT ��S �R <br /> OBUILDING $ ��u� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. /1 <br /> � � <br /> QPLUMBING $ �`�O� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��v <br /> J ` �s <br /> OGAS � ROOFING Q SPECIALTY Q OTHER � �S <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER a • (� �D �a ���+ ° <br /> SIGNATURE ED EE Ren Y/N <br /> � <br /> Address QVtI$ (y License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 � QC�. }I� • �/ � o y�+�' <br /> SIGNATURE REGISTERED Y/ N FEE RE� Y/N <br /> Address v � �5 a � , �� License# ��C J��J <br /> 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 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 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum len(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 subdivisionsllarge 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 8 1 dumpster Site Work Permit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 f f f 1 i f 1 1 { � 1 f 1 1 1..1 <br /> Directions: <br /> Fill out eppiication completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgredes over$7500) <br /> " Agent(for the contrador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (Front of Application Only) <br /> Reroots if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br />' Driveways-Not over Counter ff on public roadways..needs ROW <br />