Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received -- D��� Phone�Contact for Perm(ttin � �� J �7 7 — � ��LI <br /> Owner"s Name� —( W l� Owner Phone Number �( �� "j� � � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �� W J ?j �'7 � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �] OTHER 9 p cA, <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 7 `�IV � � l,I1lGL� � 0�, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATIOIV`OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ' <br /> �MECHANICAL $ S"� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING. Q SPECIALTY C] 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 <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres� License# <br /> PLUMBER COMP.ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL � � j/J COMPANY S�fR�� I � cb �f�{O� r` <br /> SIGNATURE �� �� REGISTERED N FEE CURRE� N <br /> Address License# C, C � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N _ FEECURRE� Y%N <br /> Address � ' License# <br /> RESIDENTIAI Attach(2),Rlot Rlans;.(2)sets of_Building'Plans;(1)set of Energy�Fortns;R-0=W Permit for new construction, <br /> Minimumsten(�1.0)�workfng days aftec.submittal date: Required onsite,Constiirction Plans,Stormwater Plans w/Silt Fence tnstalled, <br /> � Sanitary FadliUes,&..1,dumpster Slte Work,Rermit far subdiVislonsAarge projeats ' <br /> _ _COMfNERCIAL Attach(3)complete sets of Buildirig Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construotion. _ <br /> ' � � � Minimum ten(10)woricing days'after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster.Stte Work Pertnit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Flans. .. : ,� ,. <br /> ""PROPERTY SURVEY required for all NEW constnictlon. <br /> Directlons: � <br /> Ffll out application completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is.ceqalred._(AIC upgrades over ST500) <br /> " Agent(for the conVactor)or"Power of Attomey_(for the�owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER P.ERMITTING � �(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 />