|
a�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
<br /> • Building Department
<br /> . �
<br /> Date Received �� / i( Phone Contact for Permitting 7�Z 3 -- s���
<br /> 1 1 1 1 1 1 1 1 1 1 1 1 1
<br /> Owner's Name �7�'1r10�+ J C�� Q�il) e- Owner Phone Number O J" [ �' 3�SO
<br /> Owner's Address .7 l J.7Z � /� �' Owner Phone Number �a
<br /> Fee Slmple Titleholder Name ����} Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS 3�35z � �✓e--• � �r /I � �J�� LOT# �
<br /> SUBDIVISION c,J �r� � � PARCEL ID# �2'Z����D�IO"O��QD" O�
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM Q OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
<br /> DESCRIPTION OF WORK Q.�D aCe �" Ccf/Z'G—
<br /> BUILDING SIZE SQ FOOTAGE HEIGHT
<br /> BUILDING $ �� B� VALUATION OF TOTAL CONSTRUCTION
<br /> �
<br />� QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
<br /> OPLUMBING $
<br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � v�� v
<br /> �
<br /> QGAS Q ROOFING Q SPECIALTY � OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ,
<br /> . . . . .�. . . . . . . ; . . . . . . . . . . . . . . . . . . . -
<br /> BUILDER COMPANY �►S GC/L CCr t�GOI�S �t-�!G
<br /> SIGNATURE REGISTERED Y N FEE CUR n Y/N
<br /> Address � . License# e C 2 S
<br /> ELECTRICIAN 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 COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address � License#
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# ,
<br /> 111111111111111111111111�1111111111111111111111111111111111111111111
<br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
<br /> Minimum ten(10)wor'kirig days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 tlumpster;Site.Work Permit for subdivisions/large projects
<br /> COMMERCIAL � Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten,(10apryorkin�days.�ft�r submittal date. Required onsite,Construction Plans,.Stormwater,Plans;wL SiIt,F�ence install'gd, �.
<br /> Sanitary Facifities&1'ciumpster Site 1Nork Permit for all new projects.All commercial requirements must meet compliance �.,
<br /> SIGN PERMIT Attach(2)sets of Engineered Plams: - � �• '
<br /> ""'PROPERTY SURVEY required for all NEW construction.
<br /> _ _ �r_ ��.JL__�_1_�__�_a_.l__�_.�.._L• .—L�__-���_._�._.�n_ — _ _" __— _ __ — ---
<br /> - --Disactiar�s:• - - � —
<br /> FiII out application completely. ' '
<br /> Owner&Contractor sign back of applicatfon,nqtarized . - •
<br /> If over$2500,a Notice of Commencement-is required�. (A/C:upgrades over$7500) � ' �• ,.• •
<br /> " Agent(for the contractor)or Power of;Pttomey(for the,owne�)would be someone with notarized letter from;owner authorizin�same' � : , ,� ., � ;,',.. ,
<br /> OVER THE COUNTER PERMIITING (copy of contract required)
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter if on public roadways.:needs�ROW, ' �^� : ,,;:�;;,� �,t,•,,. . . - •
<br /> ' ' �- " � ' '� ' . . ., . ,r. ; . ;�,t,..,. , . ' �,., � ,
<br /> _ .. . , . , , , - , . . . -. � .� �, ,,,�,
<br /> , ., � s ,., . _
<br />
|