Laserfiche WebLink
, :` __� aisaeaoozo City of Zephyrhills Permit Application F�-s��-�eo-ooz� <br /> " Building Department <br /> Date Rgceived � <br /> � Phone Contact for Permiking <br /> Owners Name S k��arrn+ I�e11�_ . U�" � Owner Phone Number �� - � O- �V3 <br /> Owner's Address W`��� lh�U Y�WU�G Vir• Owner Phane Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �y 1 o L W W� l�1 • � L LOT# � <br /> SUBDIVISION � PARCEL ID# � � • <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED B NEW CONSfR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK IZ�1'Y1c�Ve t I�f�IGC� 41� S�� w�n (�ws• — <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> P'rTrTrTTI"1"I"TrTP'tTTI"ITrTTrTI"PT'T Tr <br /> �BUILDING $�I� � 1 ,UU VALUATION OF TOTAL CONSTRUCTION <br /> �-i <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �1�10 <br /> i 7 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��`� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> .:-:-F�.�F:-:-:-� �..r �..r �:-F•:.p�:�C..i-C-:-�:-FF7-�:-F:.-i-��:-FFF:-'�:..r:-FC�:.:.T:-F� <br /> BUILDER jo o COMPANY NewSvc� Vvl�UVIM�• <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address � U� Q�fc_. �G,\�( b�/V1•T �) License# O L-2 <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 /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 after submiltal date. Required onsite,Construction Plans,Stortnwater Plans w/Sil[Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �1..��1�-1-.FFf�I-.1..4.1..�-1-.I..t�1..F1��1-1-I..F�F.i�-1-.�1-�-�-1..�1-1-F-1-�-1-.F�1-�F.F�1-�1�-FI..�1-.��1-d-1-{-� <br /> Directions: <br /> Fill out applicaUon completely <br /> Owner&ConVactor sign back of appiiqtion,notarized <br /> If over$2500,a Notice of Commencement is required. (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 (Front of Application Only) <br /> Reroofs'rf shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br />' Driveways-Not over Counter if on public roadways..needs ROW <br />