Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting " Oqj <br /> QQ...... ............FFF14 .......I 1 <br /> Owner's Name owner Phone Number <br /> Owner's Address F 37�j F,L)COL lVpFL)5 Dr. &.1 owner Phone Number <br /> Fee Simple Titleholder Namel owner Phone Number <br /> .Fee Simple Titleholder Address <br /> JOB ADDRESS 5 LOT <br /> SUBDIVISION i JrIT ujc)o� PARCEL ID#1V�raC))710- 0()DOC) W1 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN F--1 MOVE Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE - , r-;;;n <br /> SFR COMM OTHER <br /> TYPE 0.F CONSTRUCTION . ffj BLOCK 0 FRAME Q STEEL 0 OTHER <br /> On <br /> 400(- 9�)51 6��l�(n,6/,Ak g5p6clt A'2j�, 5YY4&4 c <br /> DESCRIPTION OF WORK. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT F S 100,e <br /> BUILDING F$ ib <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING 1$ <br /> 'MECHANICAL VALUATION OF MECHANICAL INSTALLATION 1 q.�9 <br /> GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r--1YES =NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURRENT L_LLN J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N J *FEE CURRENT LILN <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT, Y/N <br /> Address F- License# F-- <br /> MECHANICAL COMPANY _J <br /> SIGNATURE REGISTERED Y/ N FEE CURR ENT <br /> Address License# <br /> OTHER COMPANY obc;al 4 m A 01 :Fo(— <br /> SIGNATURE,", REGISTERED 4t N I FEE Ct ENT l(YIN <br /> 5I( 1 - <br /> Address 33 L "License# L —1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimurh ten(10).working days after submittal date. Required onsite,Construction Plans,Stonriwater Plans w/Silt Fence installed., <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivision'sAarge projects <br /> COMMERCIAL. Attach(3)sets of-Buildinig Plans;(1)set of Energy Forms.R-O-W.Permit for new construction. <br /> Minimum ten(10)working days after submittal <br /> ubmiltal date. Required onsite,Construction Plan I s,'Stormwater Plans w/Silt FericL-installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 /> .....................................1 511211611 ............................... <br /> Directions: <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$5000) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> *OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers--.--=Service.Upgrpdes A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public rpadways..needs ROW <br /> 7 <br />