Laserfiche WebLink
� // � <br /> 813,�so=oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> , ' _ ' <br /> Date ReceivecL- : i ~ Phone Contact for Permitting — � <br /> Owner's Name � �' � Owner Phone Number � 1 rJ��� <br /> Owner's Address 1 Owner Phone Number �1 � () <br /> Fee Simple Titleholder Name �C '� Owner Phone Number ���. / � � \� � <br /> Fee Simple Titleholder Address �.O� � <br /> JOB ADDRESS � � ( � � LOT# l � 3� <br /> SUBDIVISION l;�� 0 F ��' S PARCEL ID# �` ��`�`"D61� —��� �d—00/� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER Y�l�¢- �/!� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � 00 <br /> QMECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> esUlLDtI— - --- - - - - - <br /> - -- — COMPANY— -. _- -- --- - -- - --—-- - - ---- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> @LECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J 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 /> �,� <br /> ildress License# <br /> OTHER � COMPANY � �� �C�.�f/J(,(/, nC� <br /> SIGNATURE REGISTERED Y/ N EE CURRE� Y/N <br /> Address . Q � .f ��,� ,��� License# sr�o9a��� <br /> RESIDENTIAL 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Work Permit for subdivisions/large 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 projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. • <br /> Directions: <br /> rill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)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 />