Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ,� ; 8uilding Department <br /> s_ . <br /> Date Received �- �"� Phone.Contact for Permittin ��� 6 � � - �� ?� <br /> Owner's Name J�4'�4`'� G`�' S � Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Tltleholder.Name � Owner Phone Number <br /> Fee Simple Titleholder Address r <br /> JOB ADDRESS �7� � ����'`d �'`°�'e -S � LOT# r_� <br /> SUBDIVISION � �e'�- �'�--�� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADDlALT Q SIGN Q Q DEMOLISH . <br /> � e INSTALL e REPAIR , <br /> PROPOSED:USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK " Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �'� �- �� �v`�'�L� �C�� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION'�OF'TOTAL CONSTRGCTION <br /> [�ECECTRICAL $ � � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ' - � /��� <br /> OMECHANICAL $ VALUATIOId OF MECHANICAL INSTALLATION <br /> � V U <br /> QGAS Q ROOFING. Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address License# <br /> ELECTRICIAN �� ���� COMPANY ��'�""�S �1����'��'��"`'� l�` e <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 1�3 0� ���Lc,��c� �.��- r i�-^� � L 3 E!�� ° ucense# � � �3 a 6�j"�(�� <br /> PLUMBER COMP.ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address .License# <br /> MECHI4NICAL COMPANY - <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N . <br /> Address � License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N . Fee cuR�n . Y/N. <br /> Address ' Ucense# <br /> RESIDENTIAL �Attach(2).Rlot�Plans;:(2)sets of 8uilding''Plans;(1)set of Energy Form§;R-O-W Perrnit for new construction, <br /> Minimum,ten:(:10)�working days after,�submiftal date.�Requlred onsite,Consfnicdon Plans;Stormwater Plans w/Sllt Fence installed, <br /> Sanitary FacillUes,&;,1,;dumpster Site Work;P.e[mit for subdiv,istonsAarge projects � <br /> COMMERCIAL Attach(3)'coin�plete sefs of Building Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> -Mlnfmum ten-{10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciltUes&1 dumpster.Site Work Pertnit for all new project's:All commercial requirements must meet oompliance -- - <br /> SIGN PERMIT Attacfi(2)sets of Engineered:Plans.; �� - -. <br /> "'"PROPERTY SURVEY required for all NEW constructlon. <br /> Dlrectlons: <br /> Fill out applicaUon completely. � <br /> Owner&Contractor sign back of applicaUon,nota�ized <br /> If over 52500,a Nottce of Commencement is required. (AIC upgrades over 57500) <br /> '" Agent(for ttie contraotor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />