Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Reeeived �l '��a ��� � � <br /> Phone Contact for Permitting <br /> Owner's Name '�� C�, I �Q� (�lJ�_ Owner Phone Number V I���� -V�1 I <br /> Owner's Address ��Q��� 1� vC�� �S�/r -I1 I1��IS � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �v�S� ►/�U CCf.� �"l�� �'1 �hl I I S r � ��S�f V' LOT# � <br /> SUBDIVISION �If I�l.�-�(� ,j� PARCEL ID# L�� -d b-a I -ba"7b -���b -(�(�0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK eCi'.�U� �e-�ec-�' �,� S cx�.rPS C�s� h�.lf�h�� ��e <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ � �C�(' — VALUATION OF TOTAL CONSTRUCTION <br /> �i r <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ ���/ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> QGAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> I 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 CURRE� Y/N <br /> Address License# <br /> OTHER n \� , I, COMPANY ►° �4n �6�n —Y� ' <br /> SIGNATURE � I ���I Y WUO O� REGISTERED �/ N FEE Ctl RE� Y/N <br /> Address (p �� � � P� i��, � 33 ��� License# ��CC i3a 55aS <br /> IIIIIIIIIIIIIBIIIIIIIIIIIIIIIIIIIIIIS11111111111111111111111111l111 <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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/Iarge 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,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 Attomey(for the owner)would be someone with notariied letter frbm�oinrner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />