Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Dz Phone Contact for Permitting — <br /> Owner's Name C 7_ ,g� GC 1? Owner Phone Number <br /> Owner's Address ,6177.9,6 W00, 1i OOP Owner Phone Number <br /> Fee Simple Titleholder Name C w G Owner Phone Number <br /> Fee Simple:-Titleholder Address , '�77 �cv 041 D�/'J <br /> JOB ADDRESS 7/.7Z �i t7Le�O L7Q��a�J- �i '!�y �!, `r J� LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW <br /> CONSTR�ALL REPAIR SIGN 0 = DEMOLISH <br /> PROPOSED USE ® SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> t <br /> DESCRIPTION OF WORK ,CX 0OF JC Y, 6-/.<-S <br /> I <br /> BUILDING SIZE SO FOOTAGE d HEIGHT <br /> =BUILDING $ �,�y✓ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION •��1 <br /> i <br /> I <br /> =GAS EZ' ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO A�.� <br /> BUILDER t COMPANY /44M xap'f Gd- .y P L <br /> SIGNATURE �3+O d'�� REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> I ' <br /> Address License# <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED Y/.N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL 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 /> 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 PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades.A/C. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubIic roadways..needs ROW <br />