Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received -V Phone Contact for Permitting �i Y'f tt lD - l oC V n <br /> . <br /> Owner's Name TC pv�ltr Owner Phone Number i5 Cs���1 <br /> Owner's Address � CACL 0 WC-7 C)00wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> 1 <br /> JOB ADDRESS �,J ��-I 3 Y�T^��+ �� 4d "� t-��` / LOT# <br /> SUBDIVISION PARCEL to# c3" lD- ` �Iu0 0006i3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEWCONSTRB ADD/ALT SiGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER -fie <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL [� y } <br /> DESCRIPTION OF WORK C � J' {• as4 i <br /> BUILDING SIZE �� SQ FOOTAGE HEIGHT <br /> ^t�rrz-r"t-n-rrrirrr-t-c'r-r-r�c-rtrr�ri-mr-r'rrrrr-r'rrrm'�rrr'r-r-r'►-mt-r'rrr-r-n-rr�r-'rrr-rr <br /> =BUILDING $ { c � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ el <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER L/ <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER -, . . . . O �Y <br /> ..- .-. J <br /> SIGNATURE REGISTERED I YIN FEE CURREN LffiN <br /> Address *ate License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURRFA YY/N <br /> Address License# I <br /> PLUMBER COMPANY <br /> I -- I <br /> SIGNATURE REGISTERED Y/-N FEE CURREn Y/N <br /> Address 77:77-1License#F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREn LY.LN J <br /> �{ <br /> Address License# F I <br /> OTHER COMPANY <br /> SIGNATURE l REGISTERED Y/N FEE cURREn Ly/N <br /> Address License#F <br /> I111111it111111111iIiIlI1iltItll ( fill 111111i [ 11111it fill [ <br /> tllitlltil <br /> RESIDEN71AL 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 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,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 /> F-I.i-{-FF-1-i-4-f-1-L-i-i-t-f�4-Mf--R.i-i-i-i-i-i-i-t-i-Fi-t-F-i-i-i-t-i-i-i- <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 /> OVER THE COUNTER PERM)TTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />