Laserfiche WebLink
s�sl��saoozo � City of Zephyrhills Permit Application FaX-e�a-�so-oo2� <br /> � t Building Department <br /> Gate Receiv Id <br /> ;I Phone�Contact for Permitting — <br /> I r • <br /> Owner's Name / �`� l✓�O � � ��l�j Owner Phone Number <br /> Owner's Addl ess Owner Phone Number <br /> .1 i, <br /> Fee Simple T�itleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � ,r /�` �/ <br /> JOB ADDRESS (O,�� ��// �/� LOT# � <br /> J . <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , NEw CONSTR ADD/ALT 0 SIGN Q � Q DEMOLISH <br /> ;� e INSTALL e REPAIR , <br /> PROPOSEDIUSE Q SFR Q COMM 0 OTHER <br /> TYPE`OF CO STRUCTION Q BLOCK - Q FRAME 0 STEEL Q <br /> � �� � � <br /> DESCRIPTION OF WORFC � SL��'��� <br /> BUILDIPIG SI��E SQ FOOTAGE� HEIGHT <br /> QBUILDING $ i�r�r} � VALUATION�OF TOTAL CONSTRUCTION <br /> civ <br /> QEL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPL�MBING $ <br /> i ���� <br /> QME�HANICAL $ VALUATION OF M�CHANICAL INSTALLATION <br /> 6 � � <br /> I <br /> D,GAI+ Q ROOFING Q SPECIALTY 0 OTHER ���� <br /> FINISHED FL�OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License.# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ` REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER. I COMPANY "sxl��Wf¢ � /U� �� <br /> SIGNATURE f REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � ���77 � License# �� ,� �� <br /> MECHANICAL � COMPANY <br /> SIGNATURE k REGISTERED Y/ N FEE CURREA Y/N <br /> � <br /> Add'r`ess � License# <br /> �;�� <br /> OTHER` ' COMPANY <br /> SIGNATURE:: . RE�ISTeReo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> . RESIDENTIAIt° - Attach(2):Plot Plans;(2).sets of Building Plans;(1)set of Energy;Forms;R,O-W Permit for new construction, <br /> � :Minimum;ten;(.10)working;days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> �.:� . <br /> � Sanitary..F.acilities,8�;1�dumpster;Site;Work Permit foe subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Builiiing Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> ;i Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> � SaniEary Facilities&1 dumpsier.Site Work Permit fo�all new projects.All commercial requir�ments must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> i� ****PROPERTI'SURVEY required for all NEW construction. <br /> Directions: il <br /> Fill out application completely. <br /> Owner 8�iContractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agenf(foi`th'e contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TME COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> i <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> il <br /> �, <br /> �� <br /> i <br /> l <br /> �� <br />