Laserfiche WebLink
s�s-iso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �• Building Department <br /> Date RPceive .� � <br /> � � Phone Contact for Permitting — I <br /> �---- i <br />�� Owner's Nam I • �. � ' � Owrner Phone Numbe �' — <br />� � - <br /> Owner's Address � 3 r� �� Owner Phone Number <br /> Fee Simple Titleholder Name ,ya Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP� SED NEW CONST� ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED SE SFR Q COMM � OTHER <br /> TYPE OF CO i STRUCTION BLOCK - Q FRAME 0 STEEL Q <br /> 4 • P �/ ,/ /_ /y,�; <br /> DESCRIPTIO OFWORK � ,�'V[�e��S� ,+' /�. '-c�:C� ��j�� <br /> BUILDING SIZIE � SQ F007AGE HEIGHT <br /> I <br /> BUIILDING $�S VALUATION�OF TOTAL CONSTRUCTION <br /> EL ICTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PL IMBING $ <br /> � y�_�� (� �j� <br /> �ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�f' <br />' D,GAII 0 ROOFING SPECIALTY OTHER <br /> �II 0 0 <br /> FINISHED FL i OR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> I � <br /> f�� � <br /> BUILDER 'I I � COMPANY 1����'�y <br /> SIGNATUR� � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address� License# <br /> I al <br /> ELECTRICI �v COMPANY �U�L�yI e/� <br /> SIGNATURE I ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address� License# � <br /> PLUWIBER t R� � COMPANY <br /> SIGIdATURE , �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Addressi License# <br /> flAECHAfdICAL �� COMPANY `��`�/��e� <br /> SIGtdATURE�� REGISTERED / N FEE CURRE� /N <br /> Address License# <br /> , I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Addressl License# <br /> RESIDENTIAI� Attach(2)Plot Plans;(2)sets of Buiiding-Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site,Work Permit for subdivisions/large projects <br /> COMfNERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Per�nit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br />� ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: 'I <br /> Fill out aRplication completely. <br /> �wner 8'Contractor sign back of application,notarized <br /> If over$�500,a Notice of Commencement is required. (A/C upgrades over$T500) <br />, " Agent(fo;f the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> I <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW M1 � <br /> �� - - <br />