Laserfiche WebLink
s�s-��o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received — � phone Contact for Permitting �+�-7 �J ` � _ �i(J � l <br /> Owner's Name i�, scJ (C!� Owner Phone Number ��o ��7` IJ v �J <br /> Owner's Address � �J 1 '�`' �( ' ��h�li</c �y�� �'c�• Owner Phone Number <br /> �'ee Simple Titleholder Name �/�✓��il -G't•�. � Owner Phone Number <br /> Fee Simple TitleholderAddress �u l�'ZZ ��"� '"� `�� �rlT �jL�ri/ �� �+ ���'L <br /> JOB ADDRESS 38 D�t ��fr���i � AvE 2°E1�i����j�Gf 33� LOT# � <br /> SUBDIVISION l�V` G�C=U /"t.Tf.�. , PARCELID# ���� '� �`NO6JO" ' .GU �-liJ �hJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM � TH <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � �STEEL Q <br /> DESCRIPTION OF WORK /vC" �AJ �7C� lC/V A1� �`� � C"� � /�,lrlGC'�i /"�� ('�(,��� ^�/�-�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �lif' <br /> OBUILDING $ /. O,�[� VALUATION OF TOTAL CONSTRUCTION <br /> ,,,�"`i_ F7 <br /> DELECTRICAL $ AMP SERVICE � PROGRESS EI�E�Y Q W.R.E.C. <br /> /I;� <br /> QPLUMBING $ j�j l � r � <br /> Li� <br /> �� z �' P <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION D � <br /> �aC ,o <br /> �GAS � ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � �� <br /> � �'���� <br /> BUILDER ./''"��-Z�+✓9 y�l��D j'A,/�J � �y � COfiAPANY �l��a�� �I��(����CJ�I���iV 1�,. --- _. <br /> SIGPIATURE ���J,Et���'Y �� REGISTERED Y N FEE CURRE� Y/N <br /> Address ' License# V� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUfUIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> BflECHANICAL COMPANY <br /> SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> OTHER COIIAPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCI,4L 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,Constnactibn Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGPI PERflflIT Attach(2)sets of Engineered Plans. - <br /> '*'"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. ' <br /> Owner 8 Contractor sigri back of application,notarized <br /> If over$250U,a Notice of Commencement is required. (AlC upgrades over;7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERNAITTING (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 /> ' - '.,' � • , ;� <br /> '� . ~- , - , „ . . <br /> ..:....:... . ... .... .. . . . . ,.. . r <br />