Laserfiche WebLink
. e�saeo-oozo City of Zephyrhills Permit Application FaX-a��-�aaooz� <br /> � Building Department <br /> Date Received Phone Contact for Permittin �a•� 3 —�� <br /> Owner's Name � 1 Q C '(�Q�/ Owner Phone Number � � ' O ' S-1 <br /> Owner's Address � L.. re1 �• 4/ Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I.U�U.0 Y� O C Y LOT# � <br /> SUBDIVISION PARCEL IDi� <br /> (OBTAINED FROM PROPERTY TAX NOT1C� <br /> WORK PROPOSED e NEW CONSTR e ADDfALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br />� DESCRIPTION OF WORK A C C O L,l <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��j <br /> 4MECHANICAL $� �� VALUATION OF MECHANICAL INSTALLATION _� l ( � r/ <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �I .,�� <br /> L(J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br />� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I 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 /> MECHANICA�( COMPANY \ � ti1�C\ 1 �•\r C,Q � , �� <br /> SIGNATURL�.�' REGISTERED Y/ N FEE CURREA Y/N <br /> Address � v /� License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 I I 1 I 1 1 1 1 I 1 I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over b2500,a Notice of Commencement is requlred. (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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />