Laserfiche WebLink
�-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � r Building Department . <br /> �� � - - <br /> �ed Phone-Contact for PermiBin <br /> �s Name � �J � L's LL � Owner Phone Number <br /> � <br /> � , . <br /> �ner'�Address Owner Phone Number ' <br /> i <br /> / <br /> fee Simple Titleholder Name � Owner Phone Number <br /> / <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Ct-� , LOT# � <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q � DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK R Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK L�� ,� 6. <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ TJ VALUATION OF TOTAL CONSTRUCTION _ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ����%l�� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY L_-S Y��I� �. � �� °� <br /> SIGNATURE W1' REGISTERED Y/ N FEE CURRE Y/N <br /> Address License# <br /> ELECTRICIAId � 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 /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address� License# <br /> OTHER - ,COMPANY � <br /> SIGNATURE REGISTERED Y/ N.. FEE CURRE� Y/N <br /> Address ` �-`C�..� License# l� L �- t(S <br /> RESIDENTIAL �Attach(2),Plot Plans;(2)sets�of�Building"Plans;(1)set of-Energy�Porm`s;R-0=W Permit for new construction; <br /> Minimum,ten_(10)_woricing iiays:after,submittal date:-Requtred onsite,ConsUuction-Plans;SMrmwater Plans w/Stlt Fence installed, <br /> SaNtary Facilides.&°1,dumpster,-Slte Work•Permit-for subdivislonsAarge proJects <br /> COMMERCIAL Attach(3)comPlete"seCs of Building Pla'ns plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUucUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for.ail neuv projects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)°sets of'Engipeered Plans.�a � t <br /> ,•••PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: " <br /> Ffll out applicatlon wmpletely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over 52500,.a Notice of Commencement is required. (AlC upgrades over 57500) <br /> " Agent(for tFie contractor)or�Povirer of Attomey(for the owner)would�lie someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING;,-.'�;`(Front of Appl,icatiori:;Only)"� ;; <br /> Reroofs if shingles Sewers � '' Seniice Upgrades'A/C :Fences(Plot/Survey/Footage) <br /> ' . _ ...�:. ...>�.,.._ .. , . .i� <br /> Driveways-Not over Counter if on public roadways..�eeds ROW <br />