Laserfiche WebLink
Y� <br /> a�s:�l'o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received I� � � Phone Contact for Permitting • — <br /> i ^7 y <br /> Owner's Name�� S � b r Owner Phone Number l � ( � / � <br /> Owner's Address J � �' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titl�holder Address <br /> I <br /> JOB ADDRESS S ZZ I � � �/T� LOT# � <br /> SUBDIVISION I �— PARCEL ID# <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PF30P0�ED B . NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED U9E Q SFR Q COMM � OTHER <br /> TYPE'OF CON�TRUCTION Q BLOCK • Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK r`/'� !� yTG,/ C C✓ <br /> BUILDING SIZ� SQ FOOTAGE L� HEIGHT <br /> i <br /> QBUILDING $ VALUATIOIV�OF'TOTAL CONS'fRIJCTION <br /> � W <br /> ELEGTRICAL $ a� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLU �BING $ � ` <br /> � �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /A IW /�u/ <br /> 1�`� ��/ ! <br />� �GAS Q ROOFING Q SPECIALTY � OTHER �� ' <br /> � I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> f <br /> � , � <br /> � <br /> BUILDER I <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# � <br /> � <br /> ' /, I <br /> ELECTRIGIAN COMPANY ?/�T j!! � tC�rr L <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N i <br /> I Address �V f'J 3 Qq G� �� License# -�G b(S�3� � <br /> � <br />� PLUMBER , COMPANY� I <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> i <br /> Address License# ' <br />, MECHANICAL ;; COMPANY <br /> SIGNATURE ' REGISTERED Y/ IV FEE CURRE� Y/N <br /> , ; <br /> i� . - <br /> Address ; License# <br /> _ - I <br /> i <br /> OTHER - �� COMPANY � <br /> SIGNATURE S - REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ' <br /> i <br /> RESIDENTIAL i� Attach.(2)PIoY'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,Con§truction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanita.ry.Facilities:&1.dumpster Site Work Permit for-subdivisionsAarge projects - <br /> COMMERCIAL, Attach(2)complete sets of Building Plans plus a Life Safety 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 VUork Permit fo�all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT ', Attach(2)sets of Engineered Plans. i <br />, ""PROPERTY SURVEY required for all NEW con'struction. <br />' Directions: , • <br /> Fill out application completely. <br />� Owner&Contractor sign back of application,notarized <br /> If over$25�00,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(forthe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> ' Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Suroey/Footage) <br /> DrivewaysuNot over Counter if on public roadways..needs ROW <br /> I <br /> i <br /> -- - � <br /> � - <br />