Laserfiche WebLink
. s�sasaoozo City of Zephyrhills Permit Application Fax-ai��aaoozi <br /> Building Department <br /> a' <br /> Date Received phone CanWct for Pertnittln <br /> �r <br /> e � y <br /> Owner's Name �/ � � Owner Phone Number ��r7 " �" <br /> Owners Address � ,T� !JQ L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple TiUeholder Address <br /> JOB ADDRESS �r I � � 33�y0 LOT# � <br /> SUBDIVISION 1r `/ I PARCEL ID# — � �O� "dO�O � O <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED B NEW CONSfR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1t� yt � - <br /> BUILDING SIZE SQ FOOTAGE � �L HEIGHT 7� %' ' <br /> r'� �� <br /> QBUILDING $ � D/Z'� VALUATIONOFTOTALCONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREf� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br />, Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �E cURREn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRQ. Y/N <br /> Address License# <br /> OTHER COMPANY � � �( , <br /> SIGNATURE �cis7�x� Y/ FEE CURRET Y/N <br /> Address V V � Q d7�J License# <br /> 1111111111111111111111111111 11 111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENiIAL 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,ConsWcQon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 tlumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets ot Building Plans plus a LiTe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormvrater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Wor1c Permit for all new projects.All commercial requirements must meet comptiance <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&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commenc¢ment Is required. (A/C upgrades over$750D) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />