Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received (g�3 �7 g�a ��09 y P`��-a��p <br /> Phone Contact for Permitting <br /> a ,�f f �` ,/ <br /> Owners Name �'�N�' � I�Z�2-� rT /�-1� Owner Phone Number ��� ����^ �4 I <br /> Owner's Address J v ✓U, �uC�-� TUS �LJ�• I1 ���5 3 7a Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3s3a �U��� TUSvU�- �h rn���S F'' ����� LOT# � <br /> SUBDIVISION �1� 1�%�� y1'� PARCEL ID# (Jd-�V� -a► -�ay� ��""�� ��I�v <br /> (OBTAINED FROM PROPERTY TAX NOTIGE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> ,DESCRIPTION OF WORK �PQf U�'�" r���DO� I � S L�Qf�'S �-{ ( 1�� ��( �P <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT \ <br /> QBUILDING $ l )/��C'�� � VALUATION OF TOTAL CONSTRUCTION <br /> ��V I <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> l <br /> ' OPLUMBING � �(„�� <br /> � V <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br />' QGAS 0 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 /> 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 'I ' I\ COMPANY an �(�a ��C- <br /> SIGNATURE � � WUV��` REGISTERED Y N FEECb RE� Y/N <br /> Address �(p �� JV( �"I Il � h��� �3�J_1� License# `` ' 3, t7���� <br /> a � � � � a � � � � � v � t � � � � � � � ts � � � � � t � t � � � � e � � � � i � � i � � � � et � et � � � � � t � � � � � os � <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 SURVEY required for all NEW construction. <br /> . . <br /> Directions: • • • • • • ; , <br /> ' Fill out epplication completely:µ � ' '' � � <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 AtYomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI'fTING ' (Front of Application Only) � ` ' � ' - <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />