Laserfiche WebLink
s�3aao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received �S� ��/ � .(� - <br /> • ' Phone Contact for Permitting " � <br /> Owner's Name �� / JO/',��/ �OU j"J Owrner Phone Plumber . ��'oC�� � //�b <br /> Owner's.Address , ' OwnerC�/Nu�ber /� /9�a <br /> Fee Simple Titleholder Name . Owner Phone fdumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � / LOT# � <br />, SUBDIVISION PARCEL ID# � � � � � � � d d d <br /> . - (OBTAINED FROM PROPERTY TAX NOTICE) � � <br /> WORK PROPOSED _ NEW CONSTR ADD/ALT 0 SIGN Q Q � DEMOLISH � <br /> INSTALL REPAIR " ' � <br /> PROPOSED USE Q SFR Q COMM � OTHER' r/f�� " <br /> TYPE OF CONSTRUC'TION Q BLOCK - Q FRAME 0 STEEL Q <br />� DESCRIPTION OF WORK • [��C � .1��S /� - �. � J / � <br />, �UILDING�SIZE SQ FOOTAGE HEIGHT � <br />� QBUILDING $ •VALUATION'0F'TOTAL CONSTRUCTION I <br /> .. ' ���� <br /> QELEC7'RICAL , $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C. <br />' QPLUMBING $ ' - , <br /> MECHANICAL $ ' � VALUATION OF MECHANICAL INSTALLATION J - <br /> � <br /> 3c� ��f ���� � � <br /> QGAS Q ROOFIPVG Q SPEGIALTY � O7'HER <br /> FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - License#' <br /> ECECTRICIAN COMPANY � <br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Cicense:# � <br /> 'PLUNEBER;;, COMPANY� � � <br /> SIGNATURE �REGISTERED- Y�/ N . FEE GURRE� = � " Y,/N <br /> Address ' License#' - � <br /> �, MECHANICAL � , � COMPANY ��'�S , �/C_7� -�� I <br /> SIGNATURE• � REGISTERED N EEE CURRE� �' Y N <br /> �iddress�� �� • �3S � . License,# � <br /> w.;s�,: -• - .. <br /> O'THER.'� ``� COMPAIdY <br /> .SIGNAT'URE�. � � REGISTERED Y/.N FEE CURRE� Y/N <br /> :k . ., . . <br /> Address, , _ _ �� �� -� License# <br /> .�.`RESIDENTIAL�:-:; Attacti;(2j"PIot+Plans;(2):sefs of�Bu�ilding'Plans;(1)set�of•Energy Forms;'�R,O-W P.ermitfor`new.construction, �. <br /> .. ,� rMinimum.ten;,(;10)working;days after_"sutimittal:date. Required onsite;'Con§truction Plans,StoRnwater Plans w/Sflt Fence.installed, <br /> ... . �,'ik�- �: .«.� .. . _ . , <br /> � "� Y �Sanita..ry,;Facilities.&3,1�,dumpster Sife�Work Fermit'for;subdi'vlsions/large.,projects `' � ' <br /> �COMMERCIAL. Attach-(2)'complete"sefs of'Builiiing`Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new.construc8on. <br /> _.� ---- Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8�1 dumpster,Site WorJc Permit fo�all new projects.All commercial requirements must meet compliance . <br /> `� $IGN�PERMIT Attacfi(2)sets of,Engineergd Plans:`, i � ' � � <br /> � ""'PROPERTY SURVEY required for_aIL.NEW construction. , , <br /> �`Directions:. -...���� ,., ,. <br /> Fill>out application completely. <br /> Owner&Contractor sign back of.application,notarized • <br /> � If o"ver$2500,a Notice of Commencement is required. (AlC upgrad�s over$7500) <br /> � " Agent(fo�'tlie�cont�actoc)-or Power�of Attomay(for�tfie oiivner)would be someone with notarized letter from owner authorizing same <br /> �_,.OVER'THECOUNTER:PERMI'R'ING._. _(copy,of-contractrequlred) ' ' � <br /> �Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter(f on public roadways..needs ROW <br />