Laserfiche WebLink
e�saao-oozo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � � Building Department <br /> Date Received Z—(�� Phone Contact for Permittfn — <br /> Owner's Name �v��� r S �` Owner Phone Number <br /> Owner's Address � J 1G Owner Phone Number <br /> Fee Slmple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address " <br /> JOB ADDRESS LOT# � <br /> SUBDIdISION " PARCEL�ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED v NEw CONSTR' ADD/ALT [� SIGN Q Q DEMOLISH <br /> � INSTALL B REPAIR <br /> PROPOSED USE Q SFR [� COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK " Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK I IJ�p �OIJV��jI.�^' 'S� �� 11� S W��V1S��a� <br /> BUILDING SI2E �� ?� 3� SQ.FOOTAGE �'��` HEIGHT 1� ' —'o�� <br /> QBUILDING S �O� � VALUATION"�OFjTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ' � ��O �S <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO D� <br /> ti <br /> BUILDER COMPAWY c�G� ��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> ` � �� <br /> Address �p 5 "C � Lfcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address � License# <br /> PLUMBER COMPAWY <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 COMPANY <br /> SIGNATURE ' REGISTERED Y/ N . FEE cuR�n Y•/N. <br /> Address License# <br /> RESIDENTIAL �Attach(2)„PIoti�Rlans;.(2)sets of Building Plans;(1)set of Energy�Forms;R-O=W Perrriit for new construction, <br /> Minimumstem(:1.0):working days,after.'subriiittal date: Required onsite,Construction Pl'ans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes,&-.1,:dumpste,r,,Site Work;P.ermit for sutidiv,islonsflarge projects � <br /> COMMERCIAL Attach(3)complete sets of Building'Plans plus a Ufe 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,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster.Slte Work Permit-for all new projecfs.All commercial requirements must meet compliance " <br /> SIGN PERMIT Attach(2)sets of Engineered=Plans..: . � <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> FIII out applicaUon completely. � <br /> Owner 8 Contractor sign back of applfcadon,notarized <br /> If over 52500,a Notice of Commencement I�required. (A!C upgrades over 57500) <br /> '" Agent(for tFie con�tractor)or"Power`of Attomey(for tFie 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(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />