Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-OD21 <br /> Building Department <br /> Date Received Phone Contact for Permittin_ ;3 12) 4q 01 <br /> Owner's Name Owner Phone Number <br /> Owner's Address WP�6"S S4. Owner Phone Number <br /> Fee Simple Titleholder Name- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS IYN i S�, LOT 0 <br /> SUBDIVISION 1 PARCEL 100 1 ('3l1 - 0N0 -00U-QQ-05Q0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADDIALT• SIG{ Q DEMOLISH <br /> INSTALL F_� REPAIR <br /> PROPOSEMUSE Q SFR F-1 Comm OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> D DESCRIPTION OF WORK a�t n Jn4<) <br /> BUILDING SIZE = <br /> SO FOOTAGE HEIGHT].=. <br /> =BUILDING 1$ VALUATION.�CIF fflTAL CONST.RUCTION <br /> [ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> VPLUMBING 1$ 0,00, 0 0 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> ............. .............. ................. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y=N FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY I- . <br /> SIGNATURE REGISTERED FEE CURREh T— <br /> Y/N <br /> Address Ucense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N: FEE CURREN F Y--FN <br /> Address License# I L-5s— 13 A I <br /> MECHANICAL- COMPANY _77 <br /> SIGNATURE REGISTERED 1-Y1 N FEE CURRB <br /> Address License# <br /> OTHER ,COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License#F <br /> I rr'M 1 110111111`111111.... H+H+Hi+H"+f +M 611, 1 11.111 i I I <br /> RESIDENTIAL Attach'(2).Plof Plans;(2)sets of Building.Plans;(1)set Of Eniergy-Forms;R-P-W Permit for now construction,, <br /> MInImum.len-(10)Wqrking-,,days after submittal date.:Required onsita,-Construction Plans,..Stormwater-Plains W Silt Fence installed, <br /> Sanitary Facilities&.I-,dumpster,,-Site-Work Permit for subdIvIslonsnarge projects. w <br /> COMMERCIAL Attach(3)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&I dumpster.Site Work Permit for all new projects.All commercial requirements,must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engln-edr6d-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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DYER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Rerools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If-ion public roadways..needs ROW <br />