Laserfiche WebLink
� _ , ais-�eo-oo2o City of Zephyrhills Permit Application - FaX-a�saaaoozi <br />', . <br /> , Building Department <br /> Date Recefved Phone Contact for Pertnitting <br /> T ^I <br /> Owners Name Qrav�c.� L{- 1 r� � Owner Phone Number � ' � �3 J- `� � <br /> Owners Address 3�'l�� �(' S Y�I��fL � � Owner Phone Number �13���3 '-J� � <br /> �• !� <br /> Fee Simple Titleholder Name Q �- r�.- • �-- �Owner Phone Number <br /> Fee Simple Titleholder Address � o� 'C�{Y, C; � Yl. I�IL U 3 3ct , <br /> JOBADDRESS ����� . � h ire � � � L LOT# �OS <br /> SUBDIVISION ���G . pARCEL ID# 1 �ac.Q--a 1 � v'��"QO�dU ��S� <br /> (OBTAINED FROM PROPERTYTA%NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF INORK � Y�C�G(�'• SR 'V l3L` <br /> BUILDING SIZE SQ FOOTAGE I `��( HEIGHT <br /> Trrrrrrrr-rrrrr- r'rrrr- <br /> �BUILDING $ ��� Uv VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ `(G/�_�O <br /> � �(J Y <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> -i-4i.i-".-:-.-.-:-:-i •-.-:.�6-i-6-i-i-:.i-C.i-�i-:,.i-i-:�i-�i�r: L.i-:-i •-•-:�• ••-•-•••••- <br /> . . . . . . . . . . . . . . . . . . <br /> BUILDER �. //� COMPANY `�. <br /> SIGNATURE ��� 6�Y� REGISTERED / FEE CURRE� /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <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 CURRE� Y/N <br /> Add ress License# <br /> IIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Altach(2)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,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcllon. <br /> Directions:• TT^TT^TT_ ��^�T_ <br /> Fill out applicalion completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> •• Agent(for the contractor)or Power of Ariorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <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 />