|
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> • Building Department
<br /> Date Received ' , phone Contact for Permitting • —
<br /> Owner's Name i � � ►"� �61� �( Owner Phone Number
<br /> Owner's Address Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS � I D � �0 LOT# �
<br /> SUBDIVISION PARCEL ID# d1��—�'�'��v G I /������/
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e .. NEW CONSTR e ADD%ALT 0 SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM Q OTHER '
<br /> TYPE`OF CONSTRl1CTION Q BLOCK - Q FRAME � STEEL Q
<br /> DESCRIPTIOId OF WORK » �Y��' c..Q I S`'Q� ��1�
<br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT •
<br /> QBUILDING $ VALUATIOIV'OF TOTAL CONSTRUCTION
<br /> �L�C-Q
<br /> �LECTRICAL $ � AMP SERVICE l U� Q � PROGRESS ENERGY � W.R.E.C.
<br /> OPLUMBING $
<br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i � �� I
<br /> � �
<br /> D;GAS Q ROOFING Q SPECIALTY 0 OTHER ��`
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �X
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE�. Y%N
<br /> Address -License# �
<br /> ELEC,TRICIAN GL��, /J COMPANY �v`�v
<br /> SIGNATURE `-'� ���'�-� REGISTERED Y/ N FEE CURf2E� Y/N
<br /> �aaress` . ,l License# �� dUCO 1 �
<br /> � -
<br /> PLUBNBERf, COMPANY-
<br /> �SIGNATURE ttE��sTeRE� Y�/ N FEE CURRE� Y/N �
<br /> Address License# .
<br /> , MECHi4NICAL � _ COfWPANY
<br /> ' SIGNATURE�"' � - REGISTERED ; Y/ N FEE CURRE� , Y/N . , "
<br /> Addre'ss��" � "� � � � L:icense.# � ,
<br /> ... OTHER,.'''�:..• :� .. . , COAA PANY �
<br /> �.��=SIGNATURE:�j �� - - - REGISTERED � Y/ N FEE-0URREK Y/N
<br /> � �rL. ., . ,. .. , , _
<br /> , Address'�, • ' `License# �
<br /> �e- . � , .
<br /> 'RESIDENTIAL;,. Attach-,(2)'PIoE;Plans;'(2)sets-of�Building�Flans;(1)'set of�Energ"yForRis;,R=.O=VN Pe�r'mlt for new.construction,
<br /> ,- .,��•.;;;��,,�„�,�;;:.Minimum:ten�,(;10)°workingldays;afte�'subiiiittal-`daCe.�Required�onsite,`Gonstruction�Plans,'Stormvirater Plans w/Silt Fence installed,
<br /> _-- ` Sanitary:;Facllitiesr��,l�,dumpster;Sife,�Wor,icPeimit for;subdivisions/large p�ojects' �=` - ' �
<br /> .:i�GOMMERCIAL Attacfi'(2)�complefe"sets of"Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pem►itfor new construct(on. -
<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"fo��all-new projects.All commercial requirements must meet compliance
<br /> �-:%SIGN;.PERMIT �Attach(2)`sets of�Eng(neered:Flans:��° ;. � �
<br /> ��Y:-`� - "'""PROPERTY SURVEY,requlred for_aII.NEW construction.. ,
<br /> =,'- - - � -
<br /> :t�.:... .
<br /> :�Di�ections: .s:,:•,���,-t
<br /> -- `Fil6:out applicatlon completely.
<br /> Qwne�'S�.ConVadtor.sign back of appllcation,notarized
<br /> ' -lf over$2500;a Notiae:of Commencement is required. (A!C upgrades over$7500)
<br /> �'r.:.: ,_,.,.
<br /> Agent'(fo�'fh'e�cont�actor)ror�Power,ofAttomey(for'the owner)would tie someone with notarized letter ftom owner authorizing.same
<br /> ��:`tOVER;THE'COUNTER;PERMIIT�NG. (copy_of contract-requlred) � - �
<br /> _°:Re�oofs if shingles Sewers Service Upgrades N/C Fences(PIot/Survey/Footage) ,
<br /> � Drivevirays-Mot over'Counter if on public roadways..neeiis ROW
<br />
|