|
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Departrnent -
<br /> Date Recelved, ,
<br /> 9 ;- Phone�Contact for Permit�in
<br /> ` � � `��-�I�t3�v
<br /> Owner's Name Owner Phone Number
<br /> Owner's Address Owner Phone Number 3 �'� � {
<br /> Fee Simple Tltleholder.Name � � Owner Phone Namber '�-
<br /> Fee Simple Titieholde[Address �� � �
<br /> 1-h �
<br /> JOB ADDRESS LOT#
<br /> SUBDIVISION � PARCEL ID# O ;� " _ �r �
<br /> , (OBTAINED FROM PROPERTY.TAX.NOTICE)
<br /> WORK PROPOSED NEw CONSTR ADD/ALT Q SIGN` Q Q ' DEMOLISH
<br /> �B. INSTALL � REPAIR � �
<br /> PROPOSED.USE • Q SFR Q COMM Q •OTHER " '
<br /> TYPE OF CONSTRUCTION Q BLOCK ' 'Q FRAME � STEEL Q _
<br /> . . .
<br /> DESCRIPTION OF WORK `� �c.'�C S
<br /> BUILDING SIZE ' -SQ�FOOTAGE� , HEI,GHT .�
<br /> QBUILDING , $ VALUATION�OF`TOTAC'CONSTRUCTION a
<br /> QELECTRIGAL $ - AMP SERVICE Q PROGRESS ENERGY Q W:R.E.C.
<br /> ; PLUMBING� ;$ '
<br /> MECHANICAL $ VALOATION OF;MECHANICAL INSTALLATION ����f
<br /> QGAS Q ROOFING Q . SPECIALTY ' OTHER �, � 1
<br /> : 0
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO
<br /> BUILDER COMPANY' - � -
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y'/N'
<br /> Addre�� , Ctcense�# �
<br /> ELECTRICIAN _ COMPANY • -
<br /> SIGNATURE w' REGISTERED Y/ N FEE'curtREn�'� "�Y/N
<br /> , . = .
<br /> Address ' � , ; License# - �
<br /> PLUMBER " COMP.APIY ^ �
<br /> SIGNATURE` , _.REGIS.TERED- Y/;.N; : ,�!-_FEE CURREN ' Y-/N. •"
<br /> Address _License.# � . � -:
<br /> MECHANICAL' �, . , COMPANY, . , ; .. �, ' . .
<br /> SIGNATURE " � REGISTERED � �/ FEE CURREA�. Y/�N , „ � •
<br /> Address' �r ' �L 3 ��� �� License# � � . `
<br /> OTHER " - - - - . `;COMPANY,`
<br /> � _ �� .
<br /> SIGNATURE `•� •- - ' � � � ' ' ' �' REGISTERED ' / N:;..' � �`FEE CURRE� Y/N
<br /> ,. . � . . . _
<br /> . ,. , . . . .. . .
<br /> Address � .. f _ ;, .:.;:• .. . ` License# , . ,�
<br /> � �c��. :• �. .:.. ... .. . :.:._ ..,. ,. �,.•,.;�,
<br /> RESIDENTIAL': : �AttacFi'(2).,P1ot�.P.,lans;:(2)§ets=of�Buililtng�Plan's;(1)%set of Energy�Fortns;:�R=O=W;Perinit for new constructlon, - ' � �
<br /> �- ��Minimum:ten°(=�1,0)tivuq,rkingFdays;after:submittal`date.:�:R'equired onsite;;Constiucdon:Flans;Stormwater Plans w/SIIt Fence installed,
<br /> '� �Sanitary Facil(Ues;&�;I,,,dumpster_S(te Work;:Permitforsubdtvislo,ns/large-projecfs�,:. �..;ry _ ` ' �`
<br /> - COMh1ERC1AL Attach(3)�complete sets cf Build(ng Plens plus'a�Ufe'Safefy Page;(1)set of Energy Fortns.R-O-W Permit for new construction." -" - �
<br /> Minimum ten(10)worktng days'after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilides&1 dumpster.Site Work Permit Tor all new.proJects:_All commerclal requlrements.must meet compllance °
<br /> SIGN PERMIT AttacFi"(2)'sets of Eng,i'nee_r.ed;Plans., ; :'�- �� -. �. �
<br /> ""PROPERTY SURVEY required_for all_NE4'_V_construcdon.,
<br /> Directions: - . � . . ' .
<br /> Ffll out applicaUon completely.
<br /> Owner 8 Contractor sign back of applfcaUon,notarized
<br /> If over;2500,a Notice of Commencement is requlred. (AIC upgrades over 57500)
<br /> .;��r.;��.
<br /> '" �qent(for the cantractor)or Power of Attomey�(for tFie owner)'would be someone with�notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING - �(Front of-Application Only) -
<br /> Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
<br /> Drivewaya-Not over Counter if on public roadways..�eeds ROW �
<br /> i
<br /> :J
<br />
|