Laserfiche WebLink
City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received `Ma � <br /> Phone Contact for Permitting <br /> Owner's Name C�; f- c- Owner Phone Number <br /> Owner's Address p •TG�''��'��� '� .�Owner Phone Number <br /> Fee Simple Titleholder,Name Owner Phone Number — <br /> Fee Simple Titleholder Address l <br /> JOB ADDRESS �a ( p LOT# <br /> SUBDIVISION c� PARCELiD# a13`/' p' "' olm"C)tl "Loz7b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN C] DEMOLISH <br /> 'INSTALL, • REPAIR <br /> PROPOSED USE F 79-- SF COMM OTHER <br /> TYPE OF CONSTRUCTION _ BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK (v1� -5�v'yje•�'��►� � � �?Se)e��." � ,lEc Z ^� �� G� . . <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> 1�r~7—t"rif"1'1"Y's'r—r'rP'r'f�a m s 1 . 9 - <br /> =BUILDING $ }�} -- ^ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. ,� AMP SERVICE 0 PROGRESS ENERGY 0 . W.R.E.C. <br /> (�12 uL <br /> PLUMBING <br /> MECHANICAL $ �} y�pn VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING � SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS q FLOOD ZONE AREA =YES NO <br /> -8-F-1-D--6-D--D--4-D-i-1-D••D-D-D--i••D--D-F( D-1--0-D-C-D-F-D-*-C-4- --D-i*-i-D- --C-h-:- -F-:--:-9--1--&--D-:-'� <br /> BUILDER C. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address %oflanC7v� /��z�K�.r+i r" <br /> g License# <br /> [~LECTRtCiAN `:fl e rr,/ COMPANY C=°�en"0'(9��'r�o Ell°C7� P <br /> SIGNATURE d` REGISTERED Y/ N FEE CURREN Y/N <br /> Address �`d 'ys� = pp"Co� �r License# � i� 71414? ., <br /> PLUMBER COMPANY P' (/��'"etfa,l` .. 'b">tifi ,r✓aI/��'rd'%/ � <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N ,r� <br /> Address f Ark �r �,a c Y" License# a re <br /> MECHANICAL r �-R- COMPANY <br /> SIGNATURE f ��'" "` REGISTERED Yl/ N FEE CURREN Y J N <br /> Address C}�� f'c�-. '�� ea� cJrtr �}'. License# �� ,� IF <br /> OTHER <br /> �f,/��..�..---.--.^, COMPANY <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN Y/N <br /> Address L2_1 3',3 5-4 ?y License# �! i <br /> i1i11111t' 1lli1ii111111t11lIlliillllllttltllillllllillll• D111@llllllt <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/SM.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)marking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ail 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 /> L4--1-{-4---1-�I-I.i,•-J1-i1...1 S-D-I-S-i�l--i--1..4-.b-i-.l- -3.D--D-i-i-d--2F-F-D--4.i-8.-d-.D--D.*6-.6--1.-i-D-.I-.D-D-.E-&-IUD-i-t-@-i.. <br /> Directions: <br /> .Fill out application completely. <br /> Owner� Contractor sign back of duplication,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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs•lf shingles • Sewers Service Upgrades A/C Fences (Plot/Survey/Foptage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />