Laserfiche WebLink
y 813-780-0020 City of Zephyrhills Permit Application Fax-sisaso-oozi <br /> � Builtling Department I� <br /> � Dete Received � phone Contact Cor Permitting L.1' 1��2... -- ��� � <br /> 1 1 1 1 1 1 ! l f—t7T�"r"TT"i-7���—C t � � � l � � � 1 / 1 1 t f.... .. <br /> Owner's htame �� �r✓L� ('f �` � Owner Phone Numher � � <br /> iOwner's Address p �J �• 1 Qwner Ptione Number (— � <br /> I Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Ti[leholder Address <br /> J08ADDRE55 c1U��� �N�.C.1{4�C�1��� �OT# �� <br /> SUBDNISION � � PARCEL ID#�""��'� �/��� Oa <br /> (ODTAINED FROM PROPEF2TY IAX NOTICEj <br /> WOftK PROPOSED e NEW COnlSTR e ADDIALT � SIGN [� � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR � COMM � OTHER <br /> NPE OF CONSTRUGTION 0 BLOCK 0 FRAME 0 STEEL � <br /> DESCRIPTIpN OF WORK � �U <br /> BUILQING SI2E �_.� SQ FQOTAGE� HEIGHT C� <br /> �BUILDING � Q Q� VALUATION OF TOTAL CONS7RUCTION <br /> `�� <br /> DELECTRICAL �� AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �P�UM8ING � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLA710N � � <br /> �GAS � ROOFING Q SPECIALTY � OTHER �� '" <br /> FINISHED F�OOR ELEVATIONS �� FLOO17 20NE AREA �YES NO �� <br /> BUI�DER ��.�pr,��t���( r{�� COMPANY �V—\��J�„�,�_�l�1�� —� <br /> SIGNATURE �� �\I`����� � REGISTEREb N FEE URRE� N <br /> i�,J <br /> Address ��V � Y 1{ F� �icense# �[_���g�� <br /> ELECTRICIAN � � COMPANY � <br /> SIGNATURE REGISTERE6 Y 1 N FEE CURRER Y 1 EV <br /> Address License# I--_ � <br /> P�l1MSER � � COMPANY � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �— � <br /> SIGNATURE� � � �aMP RED Y i N Fee CURRen Y i N � <br /> Address LiCense# r---� <br /> OTHER � � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �— � <br /> � ii � i � � ii � � i � � s � iiei � iiiiii � i � ii � � iii � iiii � � ii � i � i � � ii � � � ii � i � ii � i � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new canstruction, <br /> Minimum ien{10}working days aftor submittal date. Required onsite,Constructian Plans,Stormwater Plans wl Siit Fence installed, <br /> Sanitary Paciliiies 8 1 dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Allach(2)complete sels o(Buildine�Plans plus a Life Safety Page;(1)sel of Energy Forms.R-0-W Permil for new construclion. <br /> Minimum 4en(1�)workmg days after submittal date. Required on5ite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&'1 dumpster Site Work Permi[(or a(1 new projects.AiI commercial reguiraments must meet complianca <br /> SIGN PERMIT At[ach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construolion. <br /> Directians:• <br /> � Fill out application completely. <br /> Owner&Contractor sign back ot application,notarized <br /> If over$256D,a Notice ot Commencement is required. (AtC upgrades over$7500} <br /> ^ Agent(far the contractor)or Prnver of Aktomey(for the owner)wouid be someone wi[h noterized le�ter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy o(con[ract required) <br /> Reroofs if shingies Sewers Service Upgrades A!C Fences(PIotlSurveylFoatage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> i <br />