Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Q /� t Nl G—(1 Owner Phone Number <br /> Owner's Address ®Q /'� �1,1 Jlf 7�'V d(. Owner Phone Number <br /> Fee Simple;Titleholder Name Owner Phone Number <br /> Fee Simple'Titleholder Address <br /> JOB ADDRESS 3« l[Mf, ✓ ITM LOT# L� <br /> SUBDIVISION �G VC-2 M-KI PARCEL ID# 'G/ r "Zl - DfI UCID <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION [�� BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �N�� (1146 �v�?� �, 20 �L j;4,W5iPA fZ- <S;�Ud1,r--be—e <br /> i; <br /> BUILDING`SIZE SO FOOTAGE= HEIGHT <br /> { • , <br /> OBUILDING $/ �dv <br /> I VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> a <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER j: COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN" ) /N <br /> Address License# �— <br /> t <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN LY/N <br /> Address License# <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED'' Y/ N` FEE'GURREh" 'Y/N' <br /> Address License# - . <br /> MECHANICAL COMPANY <br /> SiGNATURE ..' REGISTERED Y.J.N.: FEE GURREA -Y/N <br /> Address: License# <br /> OT:HER.;.;`. .. �� COMPANY (rL�"Lld!✓ �pU,�/ � <br /> :.SIGNATURE -REGISTERED Y/ N •.FEE GURREk <br /> Address 9 J `� ®d i< . e 7� License# i Ofj li.: Ll <br /> % .i _ ... <br /> RESIDENTIAL Attach.(2)Plot Plans;.,(2)nsets.of Building Plans;;(1)setofYEnergy.Forms;R`O=W-Pennftfor,new.construction;.., <br /> Minimum ten`(10)'workirig"days after stIbm"ittal'date; Required onsite,Construction•Plans T'Stormwater Plans.wJ SiltFence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/iarge 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 /> Minirnurrf 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 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 /> 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 Attomey'(for the.owner)-would be someone with notarized letter from owner authorizing same <br /> bV,ER THE:COUNTER PERMITTING (copy;of:contractrequired) <br /> Retoofs:lf shingles Sewers Service-Upgrades.•A/C Fences(PiotJSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways:.needs ROW-" : <br />