Laserfiche WebLink
i <br /> s��-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �1�1,� phone Contad for Permktin �3 "'y S`! - �� �y , <br /> Owners Name �Y 1'1 �e,l Q�l�,y Owner Phone Number <br /> Owner's Address �-i SS ta,?lL�l Z. �� Z �(�.S Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Sfmple Titleholder Address <br /> JOBADDRESS 3�aoo {� � � �`�5 3 y LOT# � <br /> SUBDIVISION (�L� rDh Z PARCEL ID# O,gb �OUO p� <br /> � (OBTAINED FROM PROPERNTAX NOTC� <br /> WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> I � INSTAL,� e REPAIR <br /> i PROPOSED USE SFR Q COMM � OTHER <br /> � TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> � DESCRIPTION OF WORK C� KY\ H �` <br /> BUILDING SIZE SQ FOOTAGE �SdO HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE p/lJ� � PROGRESS ENERGY� W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> iFINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � �S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address� I�1 0� F� License# M <br /> ELEC AN COMPANY II -l. <br /> I <br /> SIGNATURE �o Y/ N FEE CURRE� Y/N <br /> IAddress � � `�l� (�,�, License# V { p 0 <br /> � PLUMBER COMPANY 1�\F �S <br /> i SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> I Address � �e � License# a�y <br /> I MECHANI COMPANY � V� <br /> SIGNAT RE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address �� � � �V"�"`� License# <br /> i OTHER COMPANY <br /> I SIGNATURE REGISTERED Y( N FEE CURREA Y/N <br /> IAddress License# <br /> 1111.111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWctlon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> I Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Perm(t for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Siit Fence installed, <br /> Sanilary Facillties&1 dumpster..Site Work Pertnit for all new projects.All commercial requirements must meet complfance <br /> I SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "•'PROPERN SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completety. <br /> � Owner&Contractor sign 6ack of application,notarized <br /> , , If over 52500,a Notice of Commencement Is required. (A/C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TFIE COUN7'ER PERMITfING (copy of contract required) , <br /> ' Reroofs If shingles Sewers Service Upgredes A/C Fences(PIoUSurvey/Footage) - " -•� . _ �.., ... ,,,, <br /> ' � Driveways-Not over Counter,if on publfc roadways..needs ROW +� . , � . � <br /> • ...... ..,_ ... . , ` r; , ..., , . . <br /> i - <br />