Laserfiche WebLink
-�-=- ---- <br /> 813- 80-0020 I „��p City of Zephyrhills Permit Application Fax-813-780-0021 I <br /> � Building Department <br /> . �� , <br /> Date Received � . <br /> i P.hone-Contact for:Permlttln <br /> I � . � ' ���I- .2� 6-� 2 E <br /> Owner's Namb � ` Owner Phone Number <br /> Owner's Addrass � b�� �1� /-}� ��(�� Owner Phone Number �ll -7 ��- � 2�J'� <br /> Fee Simple TI leholder Name ' Owner Phone Number ' ' � <br /> Fee Simple Tttleholder Address � <br /> JOB ADDRES � b D��J iC�-G�f��p �J- �.D(7 z���1 � l(,�,�5' LOT# �o� <br /> SUBDIVISION ' PARCEL ID# - <br /> , , (OBTAUNED F,ROM'PROPERTY TAX NOTICE) <br /> WORK PROPQSED �,NEW CONS7R ADD/ALT Q SIGN �Q �Q DEMOLISH <br /> I �B. INSTALL e , REPAIR � <br /> PROPOSED.U$IE Q SFR Q COMM [� OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME � [� STEEL Q <br /> DESCRIPTION OF WORK ' 7-�i �� Cy'�c-'�'1 �/ � ,� <br /> BUILDING SI � � � SQ FOOTAGE ' . .,HEI,GHT � I <br /> QBUIL�ING $ / � VALUATION`OF TOTAL CONS7RUCTION I <br /> � ` - �� <br /> QELECTRICAL - $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> QPL:U BING $ ' <br /> ���� <br /> QMECHANICAL $ VALUATIQN OF'MECHANICAL INSTALLATION � /� � � I <br /> ;V i <br /> QGAS Q ROOFING Q SPECIALTY .Q OTHER� (� <br /> FINISHED FLO�R ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � `' ' �,�'� <br /> �� , COMPi4Nlf ",. �,v xi v[�Z <br /> SIGNATURE !> REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address � ' Llcense# , <br /> ELECTRICIAN, , COMPANY � � <br /> SIGNATURE �' REGISTERED Y/ N FEE'CURRE� Y/N <br /> Address . . . _ . Ucense#� . . ' <br /> PLUMBER ' COMP.ANY � <br /> SIGNATURE' � " REGIS.TERED. Y./ N,, �,FEECURRE� ' Y,-/N <br /> Address , � License„# , <br /> �MECHANICAL` � . • ., ' COMPANY <br /> SIGNATURE• � ' ` � REGISTERED Y./ N FEE CURRE� Y/�N : <br /> Address�" �;..`�" � .. ' : � . � � License# - - <br /> OTHER ` ' �+ �� � - `' -,COM,PANY_ ` <br /> SIGNATURE �= �' "� �`'`' � � � ` REGISTERED� Y/ N... FEE CURRE� Y/N , <br /> Address � � ' ���- Liceiise# <br /> RESIDENTIALh�-. AtNacF%(2);;Plot%P.lans;_(2)sets.of Building�Plan"s;(1)set of=Energy�Fo'rtn,s;�R=O-W-Permit for new construction, <br /> . <br /> �-- G�,;�;.Minimum�,tem(:1,0),;wo,rktngydays:aRer`subinittal dafe.�;R'equired onsite,tConstrticdon-P_lans;Stortnwate'r'Plans w7 Silt Fence installed, <br /> �"�"���Sanf{ery Facilly,�es:8Yl,dumpster=Slte�WorkrP:,<ertnit#orsubdiyisions/large'�projects,: -_" �. ' ' ' <br /> COMMERCIAL Attach(3)`com'plete sef5`of Building'Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> - Minimum ten(10)working days after submittal date. Requlred onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Factlitles 8�1 dumpster.Site Work Pertnit for all neinr�projecfs.All commercial requlrements.must meet compliance <br /> SIGN PERMIT AttacFi(2)sets ofEngineered�Plans.. � --�:'- �. .. ' ' <br /> "••PROPERTY SURVEY required for all._NEW_construcUon.. . _ <br /> DlrecNons: _:.• - : ' ' <br /> Fill out appli Uon wmpletely. <br /> Owner 8 Con ctor sign back of appltcatlon,notaAzed <br /> If over�2500�a Notice of Commencement is requlred. (AfC upgrades over 57500) <br /> " Agent(for tliell�contraetor)`or Power of Atfomey(for tFie owner)�would be someone with notarized letter from owner authorizing same <br /> DVER 7NE COUNTER.PERMITTING.• --:-�(Front-of-Applicetlon Only)- <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubifc roadways..need's ROW� <br />