Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Departrnent <br /> F 3 p <br /> Date Racelved Phone�Cont�ct for Permtttin �`3 �0 � _ ���� <br /> Owner's Name C�'� B � � '�-�/N I Owner Phone Number ��� P���B�T� <br /> Owner's Addres� (�U �� ``��/V/l�! G�lE � Owner Phone Number � =• <br /> Fee Simple Titlebolder Name Owner Rhone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 8�� �LLNJAd��v/��-� �(JI�, LOT# � <br /> � <br /> SUBDIVISION ��J'�'1JC'YC�Q�IP.� PARCELID# �3- a� "al ���D 4�1.�00 /D4�� <br /> � I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , B NEW CONSTR� ADD/ALT Q SIGN Q � Q DEMOLISH <br /> INSTALL. REPAIR <br /> PROPOSED USE Q SFR [� "COMM � Q OTHER <br /> TYPE OF CONSTRUCTION • Q' BLOCK �``Q FRAME , Q STEEL Q <br /> ��i <br /> DEBCRIPTION OF WORK � �� �(�.:�� �K' , �G �,,,-��� ' /� �OYn Q/� <br /> BUILDIPIG SIZE SQ FOOTAGE� HEIGHT <br /> i - <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBIiVG $ � ' <br /> OMECHANICAL ,$. �2a 95� � „ VALUATION OF MECHANICAL INSTALLATION <br /> :J <br /> QGAS Q ROOFING ..Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y!N <br /> Address ' Lfcense#� <br /> ELECTRICIAN - ` COMP� <br /> SIGNATURE �� ���s7ErtEO Y/ N FEE CURRE� -Y/N <br /> Address � Ucense# <br /> PLUMBER COMP.� <br /> SIGNATURE �REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> MECHANICI0.L - //,���� � �C.OMP� ���RS �Q fJ � �s����° `% <br /> SIGNATURE �'�-�!J Re�ISTettEO Y/ N FEE CURRE� Y/N <br /> Address�' ���� "�l�E�.� �� �"/i�/�LS r�+ License# �D�1���7� <br /> OTHER . COMPANY <br /> SIGNATURE,� •� REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address ' Ucense# <br /> � <br /> i • . <br /> RESIDENTIAL Attach(2)PIot:Pians;.(2)sets+of:Building�Plans;•(1)set of-EnergyFortns;R-O-W Permit far new cons6vction, <br /> Minimum;ten(.10).working-days aRer,subrriittal date:".Required onslte,Constiuction P-Ians;Stortnwater Plans w/Silt Fence Installed, <br /> Sanitary Fadlides,&,:1,.dumpste.r,Slte Work,Rermit for subdfVisions/large projects ° <br /> COMMERCIAL Attach(3)complete�sefs of Building Plans plus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUucUon. -- <br /> - - Mlnimum ten(10)worlcing days after submittal date. Requlred onsite,ConsUucUon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facititles&1 dumpster.Stte VVork Pertnit for all new proJects.•All commerciai requlrements must meet compllance <br /> SIGN PERMIT Attacti(2j sets of Engineered�Plans.,.,, � ' <br /> :� <br /> ""'PROPERTY SURVEY reguired for all NEW construcdon..l <br /> Directlons: �- <br /> FIII out applicaUon completely. <br /> Owner 8 Contractor sign back of applfcaUon,notarized <br /> if over 52500,a Notice of Commencement i�required. (AIC upgrades over 57500) „ <br /> " Agent(for the cenVactor)�or Power of Attomey(for tlie�owner)wauld be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITIING; .�,(Front of-Application�Only)i � ' 1 <br /> Reroofs if shingles Sewers ' Servioe Upgrades.A/C � Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways:.needs ROW'-,. '� <br /> .. „ v _... ... . . . � ,. . . .. .: ,. !. <br />