Laserfiche WebLink
a�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> r' � � ,- , <br /> Date Received � ��—` Phone Contact for Pertnittin O/J "[�17 "'�—(_I��I <br /> TI'Tr <br /> Owners Name /q ��LG�N(S Owner Phone Number r7S�: '7�i7. �y� <br /> Owners Address S7� �9��� S7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,J � / �H ST. LOT# � <br /> SUBDIVISION PARCEL ID# � �2�0".2�'����'Qy�j�(,�00,3� <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR �/�,vODt.� /nno2 rQ�P`. <br /> PROPOSED USE Q� SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME � STEEL Q <br /> DESCRIPTION OF WORK ��L�Gf- W���v Y� I � SI 2!„f SI Z� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> YI"ITTI"ITTTrTI"1'TITPrrI"r1�ITTrT1'TTTTrTI"ITTTrTTf�TTrTTr <br /> Q�BUILDING $ �p/ � VALUATION OF TOTAL CONSTRUCTION <br /> O <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ^ � /t_� <br /> 1� �� ��vl,('J <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���r <br /> �GAS Q ROOFING Q SPECIALN Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> r <br /> / ,/ ^,,,! �,-,/) <br /> BUILDER COMPANY GCLQ yv)�JVW¢���^`'� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � • ���1 �- � License# C� C��w7(� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 REGISTERED 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 /> Illllllllllllllllllllllllitllllllllllllllllllllllllllllllllllllllll <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 aker submiltal date. Requlred onsile,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Facilities&1 dumpster;Site Work Permil for subdivisiansAarge projects <br /> COMMERCIAL Altach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permil tor new consWction. � <br /> Minimum ten(10)working days after submiltal date. Required onsite,Consttuction Plans,Slormwater Plans w/Silt Fence inslalled, � <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance � <br /> SIGN PERMIT Altach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslruction. <br /> Directions:• <br /> Fill out applicalion completely � <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> •• Agent(for the conVactor)or Power of Attomey(for the owner)vrould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> Driveways-Not over Counler if on public roadways..needs ROW . <br />