Laserfiche WebLink
/ � , , <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildirig Depariment <br /> ' Date Recelved <br /> Tm-m Phone Conlact for Permlttin <br /> Owner's Name 2. < Owner Phone Number �85= g�^ � <br /> Owner's Address, 7 � J�-�, `�`S , Owner Phone Number � �i��� <br /> Fee Slmple Tllleholder Name Owner Phone Num6er <br /> V � <br /> Fee Simple Tllleholder Address <br /> JOB ADDRESS � �Lo� • 5 � <br /> LOT N <br /> SUBDIVISION PARCEL IDp [ ' - �^�G� <br /> (OBTAINED FROfd PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTa� ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> � PROPOSED USE SFR. Q COMM � OTHER <br /> ! TYPE OF CONSTRUCTION � BLOCK „- <br /> Q FRAME � STEEL Q <br /> � DESCRIPTION OF WORK V I��`1 Z�hI� � ��-4. � <br /> I� BUILDING SIZE SQ FOOTAGE�� HEIGHT � . <br /> . . �TT���RT���"tT�ITTrI"1TTT�7T.'1��iT1'7TT1"TTT1"'TI"1:�/�rfT}� <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> i <br />� QELEGTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br />� <br /> j QPLUMBING $' <br />` �MECHANICAL $•j IOQ/� ' VALUATION OF MECHANICAL INSTALIATION <br />� 07 <br /> i QGAS Q ROOFING Q SPECI,4LTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> -�1-H-�1-1-4.1-6-�-f��l-4-f-N-'-.�-C-�I-�ai�1-{-1�-1-1-M�1..1-{�{-4-N�1-i-1-.1�-4-4-1-d--{-L�4-1-�{-1-1-f-{�4.��{�I.:S�:��� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� � Y/N <br /> add�agg <br /> License# <br /> ELECTRICIAN 'COMPANI' <br /> SIGNATURE REGISTEREO � Y I N FEE CURRE� Y/N <br /> Address <br /> Lfcense# <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N � FEE CURREA �Y I N � <br /> , Address License# <br /> MECHANICAL COMP.ANY !�r ICGFI �e�j/!�L {-'�J� <br /> L�r <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N. ' <br />' Address � � �$ � ,3 � License# ��S <br /> I • <br /> i OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N KEE CURRE� �'/�.J <br /> i Address - <br />� IIIIIIIIIIItlIlI11111111111111illllllllllllllll`C111#11111111111111111 <br /> i <br /> i RESIDENTIAL Allech(2)Plol Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(10)working days afler submitlal date. Requlred onsile,Construction Pians,'Stormwater Plans w!Sill Fence installed, <br /> i Sanitery Facllilles 8 1 dumpsler;Sile Work Permll for subdivislons/large projecls <br />; COMMERCIAL Allach(2)complete sels of Building Plens plus a Life Safety Page;(1)set o/Energy Forms,R-O-W Permil for new construcllon. <br /> i Mlnimum ten(10)working days aiter submittal date. Requlred onsile,Construclion Plans,Slormwaler Plans w/Sill Fence Installed, <br /> Sanitery Facflllies&1 dumpster Sile Work Permil for ell new proJecls.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Allach(2)sels of Engineered Plans. <br /> '""PROPERTY SURVEY requlred(or all NEW conslructlon. <br /> i �:�C�F.�..{� <br /> Directlone:• •-.-.�-.�1-1�'_`-r.-.-'_".'_^_�..1--1_^�'�.� ^"^:.+-�..�-�-a-�1�-4r1-�-�-�-ti t• u <br /> .-.����a <br /> I Fill out epplicadon,complelety <br /> Owner 8 Conlraclor sign beck of application,nolarized � <br /> If over 5�500,a Notice af Commencement is required. (AIC upgrades over$7500) <br /> "" Agenl(for Iha contraclor)or Power of Allorney(for the owner)would be someone wilh nolarized letler from owner authorizing seme <br /> OVER THE COUNTER PERMI7'TING (copy ot contiacl required) " <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurveq/Foolege) <br /> Drlveways-Not ovar Counler if o�public roadways..needs ROW , <br />