Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received I 6 a ' Phone Contact for Permitting �Z 7 23> 7U 6� <br /> Tr—rt—rr `' <br /> Owners Name Owner Phone Number ry 9 1 N 0 q <br /> 5Owner's Address J)9 r�� S ev Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �)Y 2O�'� S Z h 1„))-I FL 33S'y2 LOT# <br /> SUBDIVISION ne L PARCEL ID# )2^2 6 2 1 —00/o— 00616 <br /> _ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/A SIGN = = DEMOLISH <br /> INSTALL REPAILT <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK l k S h 1 Y)s IQ, 4 <br /> BUILDING SIZE <00 SQ FOOTAGE= HEIGHT <br /> =BUILDING $ / u S✓ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER � / 3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO (�t� <br /> BUILDER COMPANY uStG)C� /rltbad►��� yrD6 3a2$ <br /> SIGNATURE i� J��� REGISTERED Y/ N FEE CURREt Y/N <br /> Address 7 �3 S 1' 7 L 11� 7^� 3 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Add ress License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREt Y/N <br /> Address License# <br /> Illlllllllllllllllllllllllllllllllllllllllllllllllllllllllllltlllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stor mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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,Stonmwater 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 construction. <br /> l l I--I-�.�r-ram <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$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 O R PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> - of over Counter if on public roadways..needs ROW <br />