Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021 <br /> � <br /> Building Departrnent . <br /> Date►�ecelved ��G %� phoneContactforPermittin — <br /> Owner's Name ���'ti'�,�'����'�� � �l�J l�l��ce 3qb� pw�er Phone Number ���3 ��7 -�33 <br /> Owner's Address �b l �D�� P`�e" Owner Phone Number <br /> Fee Simple Tltleholder Mame Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 g�'� i �"�`� /��� Ze � ^C� 3 3.S— Z LOT# � <br /> SUBDIVISION PARCEL ID# < <�Z� ' 2 f— Z p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> � B INSTALL 8 REPAIR <br /> PROPOSED�USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � Q BLOCK ° Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � r0 D � /�CS � �� S�� n ' �'S <br /> BUILDING SI2E SQ FOOTAGE 2���Sg HEIGHT . S�f <br /> QBUILDING $ �y ��� VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATIOId OF MECHANICAL INSTALLATION <br /> QGAS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COAAPAWY� �L��� $�� L LC- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE Y/N <br /> Addres� Ctcense# c-e- � �97� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Fs REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# • <br /> MECHANICAL COMPANY <br /> SIGNATURE REGI57ERED 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 Building'Plans;(1)set of Energy�Fortns;R-0-W Pemilt for new construcUon, <br /> Minimum;ten(-1.0)working,days;after submittal date. Requlred onsite,Constiuction Plans,�Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilittes.&:1,dumpster;S(te Work:Pertnit for subdivisions/la►ge 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,ConsWctlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster.Site Work Permit for all new projeots:All commercial requlrements must meet compllance <br /> SIGN PERMIT Attach"(2)sets of Engineered Plans.:,, �-° <br /> ""PROPERTY SURVEY required for ail NEW_construction. <br /> Directlons: ' <br /> F(II out applicatlon completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over y2500,a Nottce of Commencement isrrequired..�(ALC.upgrad�:o�rer$7500) <br /> " Agent(for the contracto�)orPower of;Attomey;(fo�tt%e:owne�)iwould.tie'�omeone with notarized letter from owner authorizing same <br /> r: �.�;. <br /> OVER THE COUNTER PERMITTING ' (Front of;Application;Only)' ; ,�:a <br /> Reroofs if shingles Sewers Service Upgrades �A/C.;: � Fences•(PIPUSutvey/Footage) <br /> .,..,.., , _.� v y.,,�. .,a.a. . ..,,....< <br /> Driveways-Not over Caunter if on public roadways..needs ROW <br />