Laserfiche WebLink
813-78MO20 City of Zephyrhills Permit Application Fax-813480.0021 (�✓ J <br /> ` Building Department � �k�`�� <br /> Date Received Phone Contact for Permitting — U �\" <br /> -7-t--rt TT"t <br /> Owner's Name r�� a P If'� Owner Phone Number <br /> Owner's Address V f�l Owner Phone Number n,p ,`(�l✓ <br /> Fee Simple Titleholder Name Owner Phone Number �J}n_ <br /> Fee Simple Titleholder Address fJ`' <br /> JOB ADDRESS Lass rye, ' i .J q J t I LOT# , L <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION QI BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 711,% <br /> BUILDING SIZE �� SQ FOOTAGE HEIGHT G <br /> f <br /> =BUILDING $ag VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION q <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREt. Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE I REGISTERED Y/N FEE CURREN Y I N <br /> Address I License# <br /> MECHANICAL COMPANY r <br /> SIGNATURE REGISTERED Y/N FEE cuRREA Y./N <br /> Address /�� License# <br /> OTHER COMPANY Aj A 9 ��Ci2C <br /> SIGNATURE REGISTERED Y/ FFE CURRa Y/N <br /> Address License# <br /> Bllllllllltlllllllllllllllll Illtllllllllllllllllllllllllllllllllll <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)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,Stonnwaler Plans w/Silt Fence 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 constructlon. <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. (AIC upgrades over$7500) <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 (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 /> �11Q — <br />