Laserfiche WebLink
oia-iou-uucu C;ity ot Zephyrhills Permit Application Fax-813-780-0021 <br /> _ Building Department <br /> � G 1=(�R 1��1_ 1 <br /> Date F�eceived Phone Contact for Permittin �S 1 J ��J - �S S O , <br /> Ouvner's Name 5}��py ����o t�-1 `�O�� �Q �S�"�a'��-S Owner Phone Number �i 3��a-1 i t I <br /> 3�5�'0�. <br /> Owner's Address J g tD�� �-P-''�S 1 f1 ,��-� `z-F. j�� 1 h+��5 L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �p I�Il 1�f1. 'Z,� 11 ����.I�S ��L ,3 j�{� LOT# � � <br /> SUBDIVISION �-J I 0.�L� 6 PARCEL ID# �a- -aI- D O �O°�`��j O� -' D O O O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lIYORK PROPOSED NEW CoNSTR ADD/ALT [� SIGN Q Q DEMOLISH <br /> B INSTALL B REPAIR � <br /> PROPOSED USE Q SFR Q COMM Q OTHER 'i <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q � <br /> DESCRIPTION OF 1NORK � � ��C-1� �L� X I 2- <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ ��O��C�6 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � o��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � � !, , <br /> BUILDER � 1�1IPANY CJ"�1� �. �G/ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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 /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> , Sanitary Facilities 8�1 dumpster;Slte Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Builciing Plans plus a Life Safety Page;(1)set of tn`ergy Forms`r'�=O=W Pemiit for new construction. --- -- <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •""PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: . <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over SZ500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> •' Agent(for the conUactor)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(Plot/Survey/Footage) <br /> , ° - - � - _ ._._ ._ ...�,��-.. �, . ,._�. ..- <br /> Driveways-Not over Counter if o�i public roa 'ys.:need,s,�ROW � �- - ' ` >;- <br /> +` , ; ' . "' ', �%G „ "„EJ�� �S:� !K'_;�.�-' ' _ <br /> �� � :. �� ... .. _. . . . .:�r��� `,,. --,, , : .. � , <br />