Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received (/ / <br /> Phone Contact for Permitting <br /> :Number <br /> Owner's Name �1Lf/lY Owner Phon 'I f <br /> Owner's Address (� V v Owner Phone Number p Ol -T�'f f7 W0 L <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS t�/ Vv 7r- ��' LOT# <br /> M <br /> SUBDIVISION L VIT- PARCELID# — <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR' ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE hZN SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK i ') ."U lFii/1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ „rt1 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER CO) <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO /`, l <br /> BUILDER i Q <br /> ` / �l OMPANY 3C LOB ( iZ Chi (ryI <br /> SIGNATURE REGISTERED CYJJ N FEE CURREN I Y/N l' <br /> Address G License# <br /> ELECTRICIAN OMPAN REGISTERED N cu Y/N <br /> SIGNATURE t(/ � <br /> Address License# ,oo l y- <br /> � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 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 wl 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. WC 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 /> 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 public roadways..needs ROW <br />