Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �Z`�� phone Contactfor Permitting G I Z� -- L� cGVI <br /> � f17 11"1' 1 .. _ _ 1' 1 I 1 � <br /> Owner's Name ��I � �(6r1, U� Owner Phone Number <br /> Owner's Address � V � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS cJ � b' b � LOT# � <br /> SUBDIVISION Q,��/!I(��lJ� PARCEL ID# � 5 rZ g �Z�`b(��d`�� 'Q� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK L �4�/` (���%I�/t�}'1P.Y�i� �P S TC�Iv <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ ,�-l�� <br /> � � <br /> ,�MECHANICAL $�GSSRS,S VALUATION OF MECHANICAL INSTALLATION <br /> 1 <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> . . . ._�. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � /�. COMPANY 1`y���� �6,c/SiQ�,Ct`�GaL � L�C(,t' <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address `J G�1CJ 4J• G'+� (� C�- S�j�'. License# �'c���- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTER / N FEE CURRE� Y/N <br /> � <br /> Address -� License# <br /> MECHANICAL ~ � OMPANY �G �PI�V�C�S <br /> SIGNATURE GISTERED Y/ N FEE CURRE� Y/N <br /> Address ��� 1,'. m L l� �/� � �� � � License# C.���Z <br /> OTHER COMPANY • <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> IIIIIIIIIIIItlllllllllllllllllllllllllllllllltlllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sankary Facilities 8�1 dumpster,Site Work Permit for subdivisions/large projects I <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 /> . . . . . . . . . . . . . . . . . . . � <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />