Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-8, 13-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting' -YO 7 SO <br /> ..... .... <br /> Owner's Na'1 e nT 1PA , ✓ Owner Phone Number1-5?/0 <br /> F <br /> 2 i 'I <br /> Owner's Address Owner Phone Number <br /> Fee Simple7itleholder Name 0 v Y Owner Phone Number <br /> Fee Simpler Titleholder Address [3 Zs S;,0 <br /> JOB ADDRESS ZG522 LOT# <br /> i . <br /> (411 /XV1�?4� �2 PARCEL SUBDIVISION 4 - _ ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION D.t BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK A; "V <br /> !SIZE SQ FOOTAGE= HEIGHT <br /> -BUILDINGj, <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE PROGRESS ENERGY , 0 W.R.E.C. <br /> =0,,LUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> L <br /> =6AS ROOFING- 0 SPECIALTY OTHER <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES N <br /> h6�k6K <br /> BUILDER COMPANY <br /> 3 1 <br /> SIGNATURE L; <br /> REGISTERED Y/ N . FEE CURREN Y/N <br /> Addtiss <br /> License#, <br /> ELECTRICIAN <br /> #,---COMPANY <br /> 'SIGNATURE REGISTERED Y/,N FEE CURPtN <br /> Address' License <br /> PLUMBERS COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N'-,, FEE-WNEK- <br /> Address- License# 77 <br /> MECHANICAL COMPANY, <br /> SIGNATUR-E, 'REGISTERED FEEiCURREN <br /> Address License# <br /> ..OTHER;, 4. COMPANY <br /> SIGNATURE ,REGISTERED Y N FEE CURREN. <br /> A d,dresp License# <br /> .......... 11 1 HH l+!HHHIHHH I!Hills!11!!fill! Hi jt!I H-!H,171 h_!44,14 <br /> Attach.(�j'�.l�tp!ani-,�'(2)s6ts,ofBuildihg?" "(1.)set OiEhergy.F6rms;_R-"0"-W P6rmkfo?hew.construction,_ <br /> RESIDENTIAL lans, <br /> Minim'um tdrf(l 0y'working da"ys after iuibmittal'date.�-Required drisite,ConstructionPlans,StormWater Plans wt8ilt Fence instilled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisl6instlarge 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 /> 'Minimurn'ten(1,Q)working days after submittal date., Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary.Facilifies&I dumpster.Site Work Permit for ail"ne"w"'projects.All commercial requirements must In.eet compliance <br /> SIGN PERMIT Attach(2)Sets'ofEngineered Plans.. <br /> ****PROPERTY SURVEY required for ill NEW,construction. <br /> .... . ...... <br /> ---------------- --- <br /> Fill out application completely. <br /> Owner&'Contreictdr 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).1br Power-of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> '6Vk'lt'THE-.C,OUNTER,PERMi,r.rlNd ,, (copy of contract required) <br /> ker6blisl Shingles Sewers Service Upgrade's Aid`-* Fences(PlottSurVey/Footage) <br /> Driveways-Not over Counter if on public roadways..nedds ROW <br />