|
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> ' � Building Department
<br /> Date Received. -
<br /> , z ��f f � hone�Confact fo�:Permittin . . , . .
<br /> � . . , .�
<br /> Owner'a Name �� ( Ownar Phone Number �
<br />� Owner's Address � ' Owner Phone Number
<br /> Fee Simple Tltleholder Name � � �Owner Phone Number � '
<br /> Fee Simple Titleholder Addresa k �
<br /> JOB ADDRESS LOT# �
<br /> SUBDIVISION � � PAFtCEL ID# ' �
<br /> (OBTAINED FROM P.ROPERTY TAX NOTICE)
<br /> WORK PROPOSED a ��NEW CONSTR '�' ' ADD/ALT [�`�� .SIGN`- `Q� ` Q� DEMOUSH
<br /> B. •INSTALL 8 REPAIR . �
<br /> PROPOSED>.USE Q � SFR. Q COMM " ' ' Q - •OTHER � '
<br /> TYPE OF CONSTRUCTION � .Q ` BLOCK' " 'Q FRi�ME Q � STEE " Q ` _
<br /> DE3CRIPTION OF WORK� ^
<br /> BUILDING SIZE' � � � SQ FOOTAGE;�; , .,.HEIGHTY��.. �
<br /> OBUILDIPVG $ VAL'UATION�.'OFr`TOTAL�CONSsI'RUCTION`�J ` "
<br /> QELECTRICAL $ ` AMP SERVICE �•'Q �•PROGRESS'ENERGY Q W.R.E:C.
<br />' Q PLUMBING ?�$ - ����
<br /> , '�\
<br /> QMECHANICAC $• VALUATION OF:MECHANICAL INSTAL�AI'ION. . �(�Ci"
<br />� - � y ' �
<br /> r�y�'�n�
<br /> QGAS ROOFII�G . SPECIALIY Q .- OTHER� , v lJ�' "
<br /> O
<br />', FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY�S. ,NO
<br />, - rx,
<br /> BUILDER COMPANY� �' ' � � � � ' � � �
<br /> SIGNATURE REGISTERED Y/ N "'�FEE CURREK � ,Y'/N` ' '
<br /> Addr�sa - , � ; ;.. Ltcense�#:- : � .
<br /> ELECTRICIAN, . - �.'COMPANY� - ' .• .
<br /> SIGNATURE '' � REGISTERED Y/ N F�;cu�n=' � ` '�Y-/N' . `
<br /> Addre� � � _ _. _ .. • � _ , �.. _ . :Llcense: - � , . �
<br /> �. - # ,
<br /> PLUMBER ` COMPANY .. � _ - . ._.
<br /> . . Y,',.
<br /> . .. ._�.. .
<br /> SIGNATURE�`` � _ i REGI3TERED, X_/•.N::. -_jFEE,CURrtEn., ;'; Y/-N..
<br /> Address � ' . :I.loense# . j -. ' ..,
<br /> , . . :�:t,�,
<br /> MECHANICAL: . ., - ' ..,COMPANY ' A.� ,
<br /> P.'z`r.r•.
<br /> SIGNATURE � " � ' ' � �� �IS7EBED, Y.l_N_ .�yFEECURREA. Y./N- • -
<br /> /�ddeess,` ��` ` �i ' ' . �.` ' y • � nse -
<br /> u ;Y;
<br /> a�:
<br /> OTHER _. ::;� , ';COMPANY,_ �,. .
<br /> SIGN�►TURE�'"'�." . - ' . ° ` ` " REGISTERED` ' Y/ s :.; FEE.CURRE�"� ' Y/N
<br /> ���OS$ .:.r.,. '•:.� ' s,,'"� ._, � • �`:, ,. � - uC811S9#` , ' '
<br /> _ , � a , ._ � . . .. �.., .., . .,�. .,; , . _ _ .. . .., . ,
<br /> RESIDENTIAL�aq, ����Atta;cfi'(2�)4Plof�:P,lans;;(2)sets:'of+Building�Flans;``(1):s'ef'ofEnergy!Foirns;R-0=1NPerm,itfornew��nshuctfon,,,_ '
<br /> : AAlnimum ten e1A tworitin da , ` � -V T� ` " � �
<br /> . _�,,�;:�:,.,.;,, ,�;.,;(;_,��., . , ,g�,, ,ys>after;submiffal'date.,.Requlred�onsife,;:Construcdon-Rlans;StormaraferPlans�w/'SIItFenc;einstalled,
<br /> � Sanitary F,adlides;&,;1;dumpste�;Site•,Work;Per►nit forsubdiv.lsions/large:projects;.:�.. .��;,-� " ' ' • -' ,_ , ___
<br /> COMMERCIAL Attach(3)�oomplete-sets of�Builtling Plans plus alife S�afeqr�Page;(1)set of Energy Fortns.R O-W Pertntt for new.constructlon.
<br /> Minimum ten(10)working days'after submlttal date..Required onsite,ConsUucUon Plans,Stortnwater Plans w/Silt Fence Installed,
<br /> Sanitary.Fadlitles.&_] dumpster..Site Work Permit for all new�proJects�"All commercial..re�ulrements.must meet campilance -
<br /> SIGN PERMIT AttacFi(2)"sets�of�Englneered;Plans.:'.=:._:,_�: , _ -• - ' . � ' , . .
<br /> ••'•PROPERTY SURVEY reguired for all;NEW construcUon. - . �
<br /> ,.,�_ ,.. _ _ �- ;,:
<br /> Directlons: ;�:..�� . .. � . ,
<br /> FIII out appUcatlon completefy.
<br /> Owner 8 Contracbr sign back of applicaUon,nota�ized
<br /> If over a2500,.a;Notice,of,.Commencament la required. (AIC upgrades over 57500) . .�
<br /> ��,.,.�..,;K,.,.,.:y- :�.�...,._�..v......:::.:......�--r...._•...._....��_ . '� '
<br /> " Agent(for the conVaotor)'or Povtirer.of Altoriiey'(fordie:owner).woujd be�someone with notarized letter from owner authodzing same
<br /> r F ,-• _:1:, . ,..,..y.�" i 's� ;.?.�'ti_� : .'_ n.
<br /> DVER�THE COUNTER�P,ERMITTING ,-:�(Front�,of�Applicadon-Only)`-• ,;`y L
<br /> Reroofs if shingles' Sewers ` Service Upgrades,'pJC ',F.,ences(Plot/Survey/Footage) _
<br /> ,:_. . .__ .. _. . ... .: ..,�• -:.. c_ .... �.. _ ,.,
<br /> .. .._ ...,,:, - .:�„.Q,,:::.:.„:';:z, , ._. , � :.. , . � , . ...
<br /> Drivewaya-Not over Counter if on pubifc roadways:.rieeds ROW �� '
<br />
|