Laserfiche WebLink
s��-7so-oo�o City of Zephyrhills Permit Application Fax 813-78t3-0021 <br /> ' � Building Department <br /> Qate Received Phone Contact for Permi#tin ��� ��Z - ��� <br /> �i-i-T'" <br /> r.cu� Trusi- mp�n� locUdn <br /> Owner's Name C ( � � - " Owner Phone Number <br /> _..... <br /> Owner"s Address ��1� i�- �.Ck.l��5(0.�"iG�P-C� A 3 ma� t�- �1. � � <br /> --,� 3-t{ Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number �— � <br /> Fee Simple Ti#leholder Address <br /> Jd6 ADDRESS � V LOT# �_� <br /> SUBDIVISION � � PAi2CELID# �I�Z{p 2.I-�iD-��(}pp -��Ii� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw caNSTR 8 ADDlALT [� S1GN � [� DEMO�ISH <br /> INSTALL REPAIR <br /> P120PQSED 11SE � SFf2 O GOMittl �� OTHER <br /> TYPE OF CONSTRUGTION � BLOCK � FRAME � STEEL � <br /> DESCRIP770N OF WORK �,� -�hl �� �2"t3 <br /> BUILDSNG S�ZE �� � SQ FOOTAGE� HEIGHT �� � <br /> �BUILD]NG � p,�' �,-� � VALUATION(JF TOTAL CONSTRUCTION <br /> CJ � <br /> �EEECTRICAI. $ � AMP SERVICE � PRt7GRESS ENER�Y [� W.R.E.C. <br /> ' �.. <br /> �PLUN1BtNG $ � <br /> �iV]EGHANICA� � � VA�UAT[ON C}F MECNANICA�(NSTA��AT14N <br /> �GAS 0 ROQFtNG 0 SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA �YES NO <br /> BUtLDER ^� COMPANY �aV�S��-{�Y ��-�t}z"l� <br /> SIGNATURE C t�� ��� ^^ REGISTERED / N FEE CURRE� /(� <br /> Address �a�� �-�a�� �br�d z�,�n ,m�i� ���3su License# CC� (���f 3� � <br /> ELECTRICIAAt � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# � � <br /> PLUMBER t COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r` � <br /> MECHANiCAL COMPANY <br /> SIGNATURE ___ _ _ � REGISTERED Y( N FEE CURRE� Y/N <br /> Address License# � � <br /> OTFfiER � COMPANY <br /> SIGNA7URE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � � <br /> tlit1111tlIIIIMlItlfllliiifililliilittlili111111111t11l11IIIllllitl <br /> RESiDENT1A� Attach{2}Plot P1ans;(2}sets of Buiiding Plans;(1}set of Energy Forms;R-O-W Permit for new construction, <br /> --- ---------Minimum-ten-(-'!0)-working-days-after-submittal-date.-Required onsite,_Gonstruction.Rlans,Stomrwater-Plans-w/-Silt-Fence ins#alled,-_ - - <br /> Sanifary Facilities&'1 dumpster;Site Work Permit for subdivisiansllarge projects <br /> COMMERCIAL Attach(2)complefe sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forrns. R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanifary Facilifies&1 ciucnpsfer.Site Work Permit for a((new projects.AI(cammercia[requirements musf ineef compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW constructian. <br /> �_ s e ■ ■ � �_.tia...[__1 • ..■__a ■ ■ ■ ■ ■ ■ ■ ■ � ■ ■ � ■. > > �. ■ � � ■ ■ � ■ r � ■ v . � � • � ■ ■ ■ a ■ ■ � � ■ • � . • • ■ ■ • a ■ • <br /> Directions: <br /> Fill out application completely. <br /> {7wner�Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AfC upgrades over$7500) <br /> '" Age�#{for the contractor}ar Power of Ai#orney{for the owrterj wouid be someone wifh no#arized(etter from owner authorizing sarne <br /> OVER THE COUNTER PERMIITING (capy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fenees(PlotlSurveytFoatage� <br /> Driveways-Not over Counter if on public raadways..needs RoW <br />