Laserfiche WebLink
a��-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department _ <br /> , � � - - <br /> Date Recelved <br /> Phone•Confact for,Permittln $� 3 S3 <br /> �.. � , <br /> Owner's Name Owner Phone Number <br /> Owner's Address � � Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phorie Number <br /> Fee Simpte Titleholder Address <br /> JOB ADDRESS ��7 r.3 1� � LOT# � <br /> SUBDIVISION P.ARCEL ID# y <br /> , . (OBTAINED FROM.PROPERTY.TAX NOTICE) <br /> WORK PROPOSED • NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> ':e. INSTALL e REPAIR <br /> PROPOSED?USE � Q SFR [� COMM Q OTHER <br /> TYPE OF CONSTRUCTION • Q � BLOCK ' Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK � � 1 �1�(�Q � <br /> BUILDING SIZE ' �`SQ FOOTAGE HEIGHT <br /> QBUILDING $ r..�.,.�._- .�,- ._- � • <br /> � p VALUATION::OF TOTAL COMSTRUCTION <br /> QELECTRICAL $ " AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � '�$ ' <br /> � �� ��� <br /> �MECHANICAI $ VALOATION OF MECHANICAL INSTALLATION <br /> D�S Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY�� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� - Y/N <br /> Address - License# � <br /> ELECTRICIAN_ 'COMPANY " <br /> SIGNATURE � REGISTERED Y/ N F�CUR►te�- � 'Y/N <br /> Addre�s , , , License#, � <br /> PLUMBER ` •COMP.ANY � � - <br /> SIGNATURE' ` ' , , REGIBTERED Y./.N . .;FEE CURREA ." Y�/N. <br /> Addre�s � Llcense.# . � � <br /> MECHANICAL � C.OMPANY . � ` _ , ' <br /> SIGNATURE � ' ' ` ReG187EREo , . . � ,,.Y./ N . ; FEE CURREP. . Y•/�N <br /> Address" . ,. , � ` License# . <br /> OTHER � � - ' ' ;;COM PANY <br /> SfGNATURE- ;. ' ` RECIs7EiiEo ' Y/ N... FeE Cuw�n Y <br /> Addreas (-2 �,�.;.�� � .p• , . Llcense# CC C �O�]7�Z. � - <br /> -�:.:��. <br /> RESIDENTIAI;�-; �Attach'(2),P:,Iot+P,lans;:(2)sets.ofrBulliiing`�Plans;''�(1)'sefof-Eriergy�Fo'rms;R=O-W"Perrriltfornewconstruction, <br /> r �Mfnlmum:.ten;,(;1.0):vuorking,days;after„subinlftal`date:�Requlreil onstte,;Construcdon Plans,Stormwater`Plans w/Sfk Fence lnstalletl, <br /> ' � �Sanitary�Facll(Uesy&r.l�dumpster_Site�,Worfc;.P,ermlt,for subdiyislonsAarge.projects � _..;: '' - <br /> COMMERCIAL Attach(3)complete seCs`of Buildirig�Plaris plus a Lffe Safefy Page;(1)set of Energyi Forms.R-O-W Parmit for neW canstructlon. <br /> Mlnlmum ten(10)working days after submlttal dafe.. Requlred onslte,Constructlon Plans,Stormwater Plans w/Sflt Fence Installed, <br /> Sanitery Facllitles&1 dumpste�•Site Work Permlt for all new;projecCs:All commerclal requlrements.must meet compllarice � <br /> SIGN PERMIT AttacH'(2)setsofEnglneered�Plans.. ,�:.�• ��- �. <br /> "'•PROPERTY SURVEY required for all_NEW.constructlon. <br /> Dtrectlons: . • -- .. <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor slgn back of applfcatlon,notarized <br /> If over 52500,a Notice of Commencement Is requlred. (AIC upgrades over s7500) . <br /> .. -. :-,;..-:;;.:.:.; . <br /> Agent(for ttie contracto�)or Pbwer of Attomey'(for tFie�owner)would be someone virith notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITIING •�- •(Frontof-Appllcation Only)- �- � ` " � <br /> Reroofs If shingles Sewers Servlce Upgrades A/C Fences(Plot/Survey/Faotage) <br /> Drlvewaya-Not over Counter if on publlc roadways..needs ROW� <br />