Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received g _Z — <br /> ( Phone Contact for Permitting j <br /> Owner'_ s Name _ r 1 C� V A�� �Z Owner Phone Number 5I7, Z J <br /> Owner's Address 2 2 c U``- ��t Owner Phone Number <br /> Fee Simpie:Titteholder Name- _ Owner.Phone Number <br /> Fee Stmphi1itteholderAd ess <br /> JOB ADDRESS 'n� LOT# <br /> SUBDIVISION �— � PARCEL ID# <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q [� DEMOLISH <br /> INSTALL R <br /> REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q; BLOCK Q FRAME STEEL 0 <br /> 1: <br /> DESCRIPTION.OF WORK f �ye�-s ti e d <br /> � SQ FOOTAGE HEIGHT <br /> --BUILDING SIZE <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ C .\ liMr�IQirQCa 4 Cdx <br /> �J <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION l <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED{FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER fid <br /> COMPANY <br /> SIGNATURE G/ REGISTERED Y ' N . FEE CURREN Y J N <br /> Address License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED 'Y7'N FEE CURREN <br /> Address-' <br /> License# <br /> t <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED' "Y"/'N t FEE'CURREK <br /> Address F License# <br /> MECHANICAL COMPANY' ' <br /> SIGNATURE REGISTERED Y./ N FEECURREK Y/N <br /> Address _ License# <br /> f _ <br /> OTHER,:, .. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN. <br /> Address License# 1 - l <br /> RESIDENTIAL Attach_{2)_Plot.Plans;'(2)sets of Building Pions;(1)set of.Energy-Forms;R=O-W.Permit for,new,constructiori,. <br /> Minimum ten(1t))vuorking days-after submftl date. Required onsite,Construction Plans;Stormwatet Plans wJ Silt Fence installed, <br /> Sanitary;Facilitiek&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. f <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. (AIC 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 /> OVE12 THE:COUNTER PERMITTING.. ,_(copy-of contract required) <br /> roofs if shingles Sewers. Service-Upgrade's"A/C Fences(Plot/Survey/Footage) <br /> ways-Not over Counter if on public roadways..needs ROW <br />