Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � , • Building Department <br /> Date Received •phone Contact for Permittin — <br /> 9 - . <br /> Owner's Name / S�` �Y�� � � Owner Phone Nytmber O U ^ ' �� / <br /> 7 � 9 �pl Wo�� <br /> Owner's Address �1 g�a D (.-�t�(� � /l/�Y er Phone Number <br /> Fee SimpleTitleholder Name �/`���� S?'� ��v�,C ,� "�'�Owner Phone Number <br /> Fee Simple Titleholder Address / � < `� v .W ev'� S T �Or�� (� F�� CQ `^ <br /> JOB ADDRESS �?5 0� / I i5 � `-' � � LOT# � <br /> SUBDIVISION ��dO rt'`S � �d v' PARCEL ID# �1��-a � ~�v/O ��°���� �O�v <br /> (OBTAINED FROWI PROPERTY TAX NOTICE) <br /> WORK PROPOSED e ,. NEW CONSTR B ADD%ALT 0 SIGN Q � Q DEMOLISH <br /> INSTALL -REPi41R <br /> PROP.OSED USE Q SFR Q COMM 0 OTHER : / G— <br /> TYPE:OF CON$TRUCTION Q BLOCK • Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � ��U� � �� ! /�/U��-UG+` . <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT • <br /> QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � / /�Z- �y� <br /> � v / <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� COMPANY ✓0� � � G G���p��'P�c <br /> SIGNATURE REGISTERED Y' N FEE CURRE� Y/N J <br /> Address Y� d�t� I�J �{�-vGc>u�s �icense# �� � I�d��� <br /> ; "'ELECTRI,CIAN : COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address` - License# � <br /> PLUMBER.;_ COMPANY <br /> 'SIGNATURE REGISTERED Y,�/ N, = FEE CURRE� Y/N <br /> Address. � License#" . <br /> �- .MECHANICAL � COMP.ANY <br /> SIGNATURE'' ' REGISTERED ; Y/ N Fee cuw�en Y/N <br /> Ad`die"ss��` � ' � License.# <br /> �,;�_: . ... . . <br /> '�:.OTHER:�,;',". .. COMPAfVY <br />, .:'SIGNATURE.� c= ' � REGISTERED Y/ N . FEE CURREK Y/N <br /> �:._ , _ ,, , <br /> Address�:.. _ � � - ' � ' License# <br /> ���RESIDENTIAL:^�;. .Attacli::(2j;:PIot�P.lans;'((2):sefs�of�Building�Plans;(1�)`set of Energy,F�or"ms;R=O-W Peimit.for new,construction, <br /> •� '••-� •--�,�Minimum:ten,(10)�working;days afte��subinittal:daCe::Required�onsite;GonstiiicUon Plans;Stormwater Plans w/Silt Fence.installed, <br /> ..q�N.,�.;°-,t...:... . ........ . _ , . <br /> _- ' Sanita.ry.Facilities;8�;1,dumpste_r:,'Sife;Wo[k Permitfor.,subdivisionsAarge�projects� ' _ _ <br /> -�Y;COMMERCIAL Attach-(2)�complete sefs`ofBuilding 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 /> I' ,::` Sanftary FaciliUes&1 dumpster.Site Work Permit fo��all•new projects.All commercial requirements must meet compliance <br /> S.:SIGN��PERNIIT 'Attach'(2)sets,of,Engineered,Flansi�� � <br /> •s' � •"'•PROPERTY SURVEY required for_aII.NEW construction. - <br /> `�j:i,`a . <br /> �::-Directions:. -.. .,. , <br />, - - � �Fill-.out application completely. , <br />� o.wner:&Con c r ( n back I tion notarized <br /> tra to s of a ica <br /> 9 PP <br /> � If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ."' Agent�(for'�th'e�cont�actor)�or Power of'Attomey(for tFie owne�)would tie someone with notarized letter ftom owner authorizing same <br /> „... , _ <br /> ,',OVER:;THE�COUNTER�PERMITTING. ,.(copy..ofcontract•required)� '�' '`� <br /> ;"=Reroofs if'shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> �. Driveways-Not over Counter if on public'�roadways..neeiis ROW �� � <br />