Laserfiche WebLink
_ a���eo-oozo City of Zephyrhills Permit Application Fau-ei� o-ooz� <br /> . � <br /> Building Departrnent <br /> ; Date Received p(��p��-200�r phone CanWct for Pertnitting ��3 Z y o _3 I u. `�`!�� <br /> 1 / � <br /> � FsC!l.�a.� � �Ofl�� MO�� �. r ���^0.7� / <br /> , Owner's Name t Owner Phone um er <br /> � Owners Address ���� w�S��rJ�C1 IrV� . �V�/ pwner Phane Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS <pO�I� �C� S'�Tas- 2` � f�<<IS ��7S�L LOT# OZOO <br /> SUBDIVISION T S�rl ,}�7�• pARCEL IDI� 6 i�L� �L�� �6� �OOIDO�O�� <br /> (OBTAINED FROM PROPERTY TAX NOTiC� <br /> WORKPROPOSED e NEwcoNs7R� ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTtONOFWORK R `4�- <<�r �� �O <br /> BUILDING SI2E SQ FOOTAGE 13 V HEIGHT � <br /> �BUILDING $ 1 B�p�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � 1� ���s <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �I � �� <br /> QGAS ROOFING Q SPECIALTY 0 OTHER ��� <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO AREA � YES NO il <br /> BUILDER �6✓//� COMPANY ��+,5 CrOi/l �,l►, ��v. �AC . <br /> SIGNATURE �� REGISTERED Y/ N FEE CURREN Y/N <br /> Address � � ��155 �� � C.� ) .7�L7�` License# G��nt,►zsy C �.��Z�S 1� <br /> ELECTRICIAN COMPANY <br /> � SIGNATURE a�cls7e�n Y/ N �cuw� Y/N <br /> � Address License# <br /> I <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE ftE�ts7ea�n Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE r�GlS�o Y/ N �cuwx�N Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N �E cuRREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllltlllllilllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> ' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.SRe Work Pertnit for all new projec[s.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> ""PROPERTY SURVEY required forall NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 ConUactor sign back of applicalion,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attomey(far the owner)would be someone with notarized letter from owner aufhorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />