Laserfiche WebLink
City of Zephyrhills Permit Application Fax=e13-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> �-i-r-i--r-r-1-.t- r (� <br /> Owner's Name Owner Phone NumberL� �7 <br /> .r•� �y <br /> Owner's Address �oh j'� '�' �'r T�n^f°� J� >5/Owner Phone Number <br /> Fee Simple Titleholder.Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# z- <br /> SUBDIVISION t-''� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED =f'NEW CONSTR F7 ADD/ALT SIGN = 0 DEMOLISH <br /> 'INSTALL, • U REPAIR <br /> PROPOSED USE F-9— SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION , [ -� BLOCK 0 FRAME STEEL 0 p f <br /> DESCRIPTION OF WORK �►��" ,4 �e �t�' �' S a�c �,r, r�rc � � �-y ` }• <br /> BUILDING SIZE SQ FOOTAGE � �j"wt HEIGHT <br /> "In,.'R-a-c-Az"r'r>s-rnrrrT'i-�-�r <br /> =BUILDING $ l�} 06�� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. �i ��-d—� AMP SERVICE PROGRESS ENERGY 0 . W.R.E.C. <br /> =PLUMBING $ .3-1 <br /> , <br /> =MECHANICAL Is q r VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING [� SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 'FLOOD ZONE AREA DYES NO <br /> -4-°Y--".--B�-i--8-i-6-i-°i-1-°il-1-ti-��-i--6-F-R-7-1�-6•-*'-1-tr-�i--i-i-i�4-?r-°�--1-i-:a�t�l--i-�+'-'-i'-�'-8-6-cam'-➢'�-:...7-�,:-C@i@'�°r:-3-F-t-i-t-i- <br /> BUILDER' COMPANY <br /> SIGNATURE ��•'' REGISTERED Y( N FEE CURREN Y J N <br /> Address �o`?G[a+ ���+* Gee.'n I�! 1c-r,�� License# T, <br /> ..i i ECTRICIA�1 COMPANY � ��1? <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# c <br /> r <br /> PLUMBER COMPANY / w,- -947�7 CO <br /> .SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> ^ Fx/Y/N,( � i <br /> Address , f `�, . F,r Ate �� ,s License# c�" c 0 �A' <br /> MECHANICAL COMPANY p" I{' G�� �+ T' " ; <br /> SIGNATURE ( �` '" �� ,.-•- -- REGISTERED I W/ N FEE CURREN Y/N <br /> Address �r ,r- �.� f sa a cs,t� r a License# c,4, �:,1,I fly <br /> OTHER <br /> ANY <br /> SIGNATURE ROMP RED Y/ N FEECURREN <br /> Address �, t� P /fir , r License# <br /> ililtlltt' iiitiiitiiliilltiiiiiiTii111iillllt111111 .I1111tlllillllll'1 <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/Slit Fence Installed, <br /> Sanitary Facilities 1 durpster.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 /> -1-1-46-1--i--I-61 's.,,-.1--6..I-.6-i-1•-4-i-i- -i..6-.1-i-i-B.-II-b.-$-•1-.9-->f-aS-. -1--i-►-1-•d-1-- -i-1-S-i-I.�S.r6..B..�-1- -tlo4�6.-1..{-6..4. <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of xpplication,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 /> Reroofsif shingles - Sewers ;,ervice Upgrades A/C Fences',(PiotJSurvey/Footage} <br /> Driveways-Not over Counter if on public roadways.-needs ROW_- <br />