Laserfiche WebLink
_ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Z,� ,� � Phone-Contact forPermitting ' <br /> Owner's Name G//� �1N�I Owner Phone Num er f 333 �� <br /> Owner's Address ��� ` �° �G�� vj���/�' Owner Phone Number � / IO�� <br /> Fee Slmple Titleholder Name l � L���b' C?/�1"J Owner Phone Number �G J <br /> Fee Slmple Titieholder Address <br /> JOB ADDRESS �('�� � �¢ � S LOT# �'/ <br /> SUBDIVISION C� �CCST' � PARCEL ID# ��''��" � �Ca�`-6�� fj,�'I� <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED , e NEW CONSTR e ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK " �— FRAME � STEEL Q <br /> DESCRIPTION OF WORI(� u� s����J°6� �-U�/ fi�IJ��� �/� �� <br /> BUILDING SIZE ���6 SQ FOOTAGE��. HEIGHT �� <br /> QBUILDING S � �2 , ,�l VALUATIONfOF TOTAL CONSTRUCTION�� <br /> �CJ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ���-7?7 8���� �1���� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOfV :�/��� / <br /> QGAS Q ROOFING Q SPE6IALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATIIR�. <br /> �� REGISTERED Y/ N FEE CURRE� , Y/N <br /> Address Lfcense# <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 Llcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/-N <br /> Address License# <br /> OTHER COMPANY ���I� <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address - Ucense# � <br /> RESIDENYIAL Attach(2)Flot Plans;(2)sets of:Building Plans;(1)sefof Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10):working days aRer.subrtiittal date: Required onsite,Constniction Plans;Stormwater Plans w/Siit Fence installed, <br /> Sanitary FaGlitles 81:dumpster,Site Work_Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Builii6rig Plans plus a Ltfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUucUon. <br /> Minimum ten(10)worki�g days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed, <br /> �. Sanitary Facilitles&1 dumpster.Site Work Permit for all new proJects.All commercial requlrements must meet compliance <br /> SIGN�E9ZM T AttacH'(2)sets of Engineered Plans.:,.� <br /> �"'PROPERTY SURVEY required for all NEW construcdon. <br /> Directlons: _��. <br /> FIII out application completely. �� � <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement ts requir`ed.{ C upgrades over 57500) , <br /> " A ent for the contractor or'P_ovVer.of�Attome �for the�owner�vvould'be someone with notarized letter from o '`�`"'�` <br /> 9 � ) Y� „).. w�,��aNthorizing•same••��.a_..< .. <br /> .;i � 1 j' <br /> DVER THE COUNTER PERMIT7ING., `;',',(Frorit,of:Application�OnIyJ, 4 "- ��� " -� �'"�='' �"� � ' �� <br /> Reroofsifshingles Sewers §e�,rvice_Upg�ades;i4/C.,..-�"F�nces(Plot/Survey/Foota'ge}� __ 1, • - �'" '�' _ _ . >; <br /> , . . . , , - t� _ Z •;:�.. ._ , .. <br /> Driveways-Not over Counter..if on',publ�roadweys::�eed�s�ROW�_� � - _ ... .�. ,�,..� ,. .' �ri•.�,,:^:��,'.-..�.. <br /> , ::4:.. <br /> ,`� <br /> �, <br /> ��— <br /> _ _� <br />