Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-002� <br /> Building Department <br /> �, . . - . <br /> Date Recelved Phone-Contact far Rermittin <br />� Owner's Name �r! (1p - �/� (,� Owner Phane Number <br /> � � � <br /> Owner's Address .Q ' � Clwner Phane Number <br /> Fee Simple Tltleholder_Name r� � Owner Phane Number �� � <br /> Fee Simple Titlehalder Addresa ' <br /> JOBADDRESS � Jt' r- -e� !�Q' � LOT# � <br /> SUBDiViSiQN �� � PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAIf NOTICE� <br /> WQRK PROPOSED 'NEW CONSTR ADDIAt�T � SIGN Q [� DEMOLISN <br /> e INSTALL REPAIR <br /> PROPOSEp llSE Q SFR Q CQMM C,,,� OTHER <br /> TYPE OF CQNSTRUCTION Q BLOCK � Q FRAME � STEEL C] <br /> DESCRIPTION OF WORK � - ' r �G't '�UIC� � L�U A I� <br />� BUtLDlNG SI2E SQ FOQTAGE� HEIGHt � <br /> QBt1lLDiNG , � � -'`.;._:.�,.., ..,"': . <br /> VA�UATION OF TOTAL CONSTRlIC710N <br /> �EEC,ECTRICAC $ ���T}�'L� AMP SERVICE 1�� Q PROGRESS ENERGY Q W.R.E.C. <br /> V / <br /> OPt�UMBING {� ��1�J�� <br /> L � � ( <br /> QMEGHANiCAI $ VA�UATION OF MECHANICA�ENSTALlAT10N � 1 <br /> � � <br /> Qc�s � Rao�iN� � s�Ecia�.�nr � o�N�R ��� <br /> �' FINIBHED F�OOR ELEVATIQNS FLOOD ZONE AREA QYES NO �g <br /> � <br /> i <br /> i BUEi.DER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �� Addres� l:icense# � � _ <br /> EEECTIt1C1AN ��+ ,, COMPANY C � ���� <br /> SIGNATURE ' �G�i��� . REGISTERED Y/ N FEE CURRE� Y N <br /> Address License# �c.�� �� �'� <br /> PLtlMBER COMPANY <br /> SIGNATURE RECaISTEREp Y/ N FEE GURRE� Y/N <br /> Address Ucense# � � <br /> MECHAt+1iCAL CAMPAt�EYY <br /> SIGNATURE REGISTERED Y/ N �e CURrte� Y/N <br /> Address License# � � <br /> � <br /> ' BTNER COMPAFIY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas '. � License# �� � <br /> REStDEN'i'IAL ��Attach{2}Plaf Plans;.{2)sets af:Bultditig'Plans;{i)set of Energy Famis;.R{}-V1t Pem►1#far new constnrctian, <br /> , Minimum,tem(10)working'days,after;submittal date. Requirei!onsite,Construction Plans;Starmwater Plans w/Silt Fence installed, <br /> Sanitary Factlitles&,,1.;dumpster.,51te`Worlc;Permit for subdivistons/large pro]ects <br /> COMMERCiA� Attach{8)cari�plete sefs af BuililEng'Plans Ptus a Life Safety Page;{i)set af.Energy Forms.R-O-W Permit far new constru4tian. <br /> Minimum ten(10)worlcing days'after submittal date. Required ansite,ConstnuaUon Plans,Stormwater Plans w/Silt Fetice installed, <br /> Sanikary Facili8es 8�1 dumpster.Site Wark Permit for aN new pruJects.All commercfal requlrements must mee!compllance <br /> StGN PERMIT Attadi"(2)sets of Eiiginesred Rlans..,; <br /> ""•PROPERTY SURVEY reguired for all NEW consWctlon. <br /> Directions: , <br /> FIII out applicatian completely. <br /> Owmer 8�Gantractor sign back of appt3catlon,natarized <br /> If ovsr;62500,a Notice of Commencement Is required. (J4/C.upgrade�over ST500j <br /> '• Agent(far ttie contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> dVER TFiE COUN7ER PERMiTTING (Front of Application Oniy) " ' <br /> Reroafs if shingles Sewers Service Upgrades A!C =� Fences(Plot/Survey/Footage) <br /> Drlveways-Not over Counter if on putilic roadways..needs ROW <br />