Laserfiche WebLink
s1a Tao-ooze City of Zephyrhillls Pen—it Application Fax-813-780-0021 <br /> Building Department (� <br /> • Date Rtceived P.hono-Contactfor-Pe mitti f T <br /> -3T u I il I g <br /> �y e o Y 1 e n <br /> Owner's Name ,`�• Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT. <br /> suemviS1ON I PARCEL ID# <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT tJ SIGN = = DEMOLISH <br /> ,e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM u OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK M FRAME r_7 STEEL n t <br /> OESCRIPTION.OP WORK <br /> -BUILDING SIZE- I- I-SIDFOOTAt)E - HEIGHT- <br /> - =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.P-E.C. <br /> PLUMBING <br /> =MECHANICAL- $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS L _J FLOOD ZONE AREA =YES NO <br /> l — <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address --- .-- -----------�� License# L f <br /> ELECTRICIAN COMPANY <br /> -SIGNATURE- REGISTERED -Y-f-N- - FEECVRRET� Y7 Pt , <br /> Address License 4 <br /> PLUMBER COMPANY Me_( " <br /> SIGNATURE REGISTERED N FEE CURREN 7Yl <br /> Addross a (' _ ft(A.• Lioense* <br /> MECHANICAL REGISTCOMPERED <br /> SIGNATURE _ REGISTERED Y/N FEE CURREN YJfiI 1 <br /> Address License 0 <br /> OTHER COMPANY <br /> SIGNATURE f REGISTERED YIN FEECURRS!, <br /> Address License*q <br /> IIID111111t111111t1111111111111111111111111llllllllltltllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plan.. ets of Ri Aid0ig,Pfnn 5;(1 set of E-eW Forms;R.06lM Permit for negv rnnet.�krHnn <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans.Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&i dumpster:Site Work Permit for subdivisionsilarge 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,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Feel ities W 1-drimpstar.S+ld fMor«-PermifFor sll nevr groy✓Js.ASS`cammerrAal iequrrrgments must meet comp!lr;ncD <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Flat out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if ovor$2600,a Notice of Commencement is required. (A/C upgrades over$7600) <br /> Agcnf ffc L._ ,,,.. —, r P_.. ._'^::_.._,, _ _ dc,.. c,.-a .c.=.,tee.,.a.,:,„a,.. <br /> OVER THE COUNTER PERIMTTING (copy of contract required) <br /> Remote if shingles Sewers Service Upgrades A/C Fences(Plot/Sufvey/Footage) <br /> Driveways-Not over-CounteHf on public-rozdv ays:.needs-ROW- <br />