Laserfiche WebLink
s��-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> �0.� <br /> Dabe i�eceived phone Contact for Permitting ��7 ��s - '`�) �� <br /> OwnaYs Name�����w�rc� �{q v� Owner Phone Numbe� �13��& ���� <br /> Owners Addr�ss 3�'`��� �e�er`��' ��'� Owner Phone Number <br /> Fee Simple Tdlehofder Name K�� Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS �?'E3` 5«e�r`��F �r� LOT# �� <br /> SUBDIVISION v���c- �``�� PARCELIQ# ��-�6-a1-¢l�0-oaao0- I�qa - <br /> (OBTAINED FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN [� MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMfVI Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER Yh <br /> DESCRIP710NOFWORK ReGovc� ma���t �ev...e �f G�c��'�im� 5 G,t��d-G. c�r✓� � Y� {�e�b�v-` <br /> BUILDING 31ZE SQ FOOTAGE �4`�� HEIGHT �S � <br /> Q BUILDING $ ���6, 0p VALUATION OF TOTAL CONSTRUCTION <br /> [� ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING I$— „ � <br /> � ��71�� <br /> � MECHANICAI $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO <br /> BUILDER Q ��U� COMPANY C°"���� ��e� � S�S `�c. <br /> SIGNATURE REGISTERED / N FEE CURRENT /N <br /> Address � �� Tu c��.r �, ��eo.c�..,�.-�c 33�5� License# �COS� 0�j <br /> ELECTWCIAN COMPANY ` � <br /> SIGNATURE f�REGISTERED'�'� ' Y/ N FEE CURRENT Y/N <br /> i <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGtSTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REOISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <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. f2equired onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Faalities&1 dumpster,Sfte Woric Permit for subdivisions/larc�e 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 /> Niinimum ten(10)warking days after-submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster.Site Work Permit for all new projects.All commercial requiremeMs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered f'lans.-_ _ _ <br /> *""PROPER7Y SURVEY required for all NE4V construction. <br /> Directions: <br /> Fill out application completely. ' , <br /> Owner B��Gontractor sign back of application,notarized - � <br /> If over;2600,a Notice of Co�ririnencemeiifaiE reyuired. (A/C upgrades over�5000) <br /> *' Agent(for the contractor)or.Power;of Attomey,(for the ovmer)would be someone with notarized letter ftom ovmer authorizing same <br /> �fi r <br /> OVER THE COUNTER PERMITTING,;;�..;�(Fr�jifCf,A�plication Only) <br /> Reroofs�-� ��• '•� Sewers � ;,.Senrice Upgrades,:; A/C Fences(PIaUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways:.needs ROW <br />