Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application ;� � �-�au-uuz, <br /> Building Department � � <br /> , <br /> Date Received I l l I 1 � � Phone Contact for Permitting ��3 � �� _ ✓��'!'� , <br /> t <br /> Owner's Name ���h ✓°` '1 Owner on g b� , <br /> Owner's Address a -1 �� O t.L� �"1"t'�.� Owner Phone Number I' <br /> 1 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> �, <br /> JOB ADDRESS 3 �4 a� �'o�-'�"� �-�• Z V� ✓ ��I�S �� 33J�( LOT# � � <br /> SUBDIVISION PARCEL ID# I I —oZ�—'o�I ^ O�I O`0�0 /00 ' 00 I U <br /> (08TAINED FROM PROPERTY TAX NOTICE) + <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH , <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q �� <br /> i. <br /> DESCRIPTION OF WORK 1�L� rad � �� � 'L 7<�� i <br /> � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT , <br /> OBUILDING $ �J /_� VALUATION OF TOTAL CONSTRUCTION i <br /> � ��� <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. 4 <br /> � <br /> QPLUMBING $ �' <br /> � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /�/' _)v� <br /> \ <br /> i <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER j <br /> I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � <br /> i <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 /> i <br /> Address License# 5\� <br /> �� � <br /> OTHER `� � �� COMPANY � ��Y'ls^�'�''� ,v��p 2n L <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �� <br /> Address 37�o��p ��G��+�-1- �r a ce � � r h�i��S � 3 3��-icense# cc.c 13a ��{s v <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(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 /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrections: <br />� Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (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 <br />