Laserfiche WebLink
s�s-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> `Building Department <br /> Date Received � r/ �,S Phone Contact for Permitting �.3 S 7V /�✓ / <br /> Owners Name k(�.50'1 �`�� �I uJ Owner Phone Number /D I3 '��zL`� <br /> Owners Address �J�� V� h '� r���Qf� �t1 I V Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS 6 3 z � Uy�r,Y1�(1 O�1lJ+�V�- ZrQ i� I�fl t 1�.f -�'�, LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW coNSTR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR.4ME 0 STEEL Q <br /> DESCRIPTION OF WORK �eMO� Vl ��T4 LJOOq��'�Yl t i�S I/YI 4S TI ���� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ '/)� �QV VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> OPLUMBING $ � <br /> l�°3 <br /> ��f��,/ ` <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��i,„ <br /> I�'/Z��' �/K O <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � � / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO n <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER ��� COMPANY US �iC'P �'S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��JZ J �1 I e. ��Cy� rT C�C , License# C C.�5�3�� <br /> i <br /> ELECTRICIAN � � COMPANY � ' / <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> ,�/ � � " Z <br /> Address � � ���1 / Q 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 /> r n. <br /> Address License# <br /> (/� Ct,S SI NATURE l rt OnsP REO Y/ N FEE CURRE� Y/N <br /> � i Z �+ <br /> Address ��✓� I �- C G��h�C � License# QS�Q <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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 construdion. <br /> Directions:• <br /> Fill out application completely <br /> Owner&ConVactor sign back of applicaGon,notarized <br /> If over$2500,a NoGce of Commencement is required. (A/C upgrades over$7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />