Laserfiche WebLink
' a�saso-oozo City of Zephyrhills Permit Application � Fax-s�saao-ooz� <br /> Buildin De artment <br /> 9 P <br /> Date Received Phone Contact for Permitting LJ I� �1�a -��� �� a 5� <br /> Owner'sName `/�� `� I`�� �� OwnerPhoneNumber ������ I - ���' <br /> Owner's Address I��U L�I(��� �� lX�"i5T �(�,i�S uv �� �7�Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�3a3 �U C�t� US � �Y 11�� 5 �� 3,��1 C/' LOT# � <br /> SUBDIVISION '1���� � PARCEL ID# b a-a���I -���U �VO��- �� � <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL � <br /> � <br /> DESCRIPTION OF WORK �� lT'r �e-i C(.'t" �D �/ Va�eS Q5 hc�.i f-�h I� 'P,S <br /> � BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> y �BUILDING $ (_ O(�(� � VALUATION OF TOTAL CONSTRUCTION <br /> IV <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> ', OPLUMBING $ �(��� � <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGINATURE 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 /> IVIECHAMICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER �C Q �I � COMPANY �n I`lXJ��� �nC <br /> SIGNATURE ` 1 '� i'�'�Q� REGISTERED Y! N FEE C RE� Y/N <br /> Address �(D 7 �3 JJ` S�1 � l hi(�s 33Sy) License# CCC I�J o��S�S <br /> s � � � i � � s � � ttss � o � � � � � ii � � � � � � a � � s � � t � t � � � � ai � � � � � � � t � � � � � � � � � � � � � � � <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/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,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$IJRVEY required for all NEW construction. <br /> ■ - .��. - <br /> Directions:• � " - � ' - - <br /> , , _ . ,_, , ��c: _ , , <br /> Fill out application completely. , , , ,,,;��:i,-•,,.,.,-,n- �. . _ <br /> Owner&Contractor sign back of aPplication,notarized - .. .- ,.. ,,. ,, . <br /> If over$2500,.a.Notice.of Commencement is required. (A/C upgrades over$7500) "�`;'��:5 � .. -. � - <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 if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />