Laserfiche WebLink
o.'I'1-f0u-uuZu City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department 0 <br /> Date Received Phone Contact for Permitting <br /> r-7 a <br /> Owner's Name —Jo vQ L Owner Phone Number - R a <br /> Owner's Addressl 2 & 1 1 �,5-- 9--r 14 R, Owner Phone Number <br /> Fee Simple:Titleholder Name Owner Phone Number <br /> Fee Simpid;Titleholder Address <br /> JOB ADDRESS LOTF <br /> SUBDIVISION 94 0C k, A08 PARCEL IDX CTI bF <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT De SIGN DEMOLISH <br /> e INSTALL F REPAIR <br /> PROPOSEb USE 0 SFR 0 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK I 015 pag, <br /> F <br /> BUILDINGSIZE <br /> SQ FOOTAGE= HEIGHT C— <br /> I I I i 2 i v 2 1 i i ff <br /> I <br /> =6.UILDING Icv <br /> VALUATION OF TOTAL,CONSTRUCTION <br /> y <br /> =ELECTRICAL AMP SERVICE 1$ PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION P% <br /> =G'AS 0 ROOFING- SPECIALTY OTHER <br /> FINISHED I FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER-; COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh LILN <br /> Address License# r <br /> ELECTRICIAN <br /> COMPANY <br /> 'SIGNATURE REGISTERED <br /> Y N I FEE CURREh- <br /> Addre!ss License# <br /> PLUMBER: COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED J-N FEE CURREh <br /> Address, License# <br /> F <br /> ..OTHER;- . . -COMPANY <br /> SIGNATURE REGISTERED . Y/ N FEE CURREh. Y=N <br /> -Add.ress <br /> License# <br /> its N <br /> :kgillbEllf Attach.(?)Plot Plans;­(2)si'6 its Of Building Plans;'.(1).set of Energy Forms;R'O'W Permit fornew'construction, <br /> Minimum t6h:,(10)wo�ind days aiters6bimittalidate., kequ"-ir4ddnift6,Construction PlaniStormwa.ter Plans.*Slit Fence installed, <br /> Sanitary Facilities&I 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 t6h(110)woMng,diays after submittal date.-Required onsite,Construction Plans,$tormwater Plans w/Slit Fence installed, <br /> Sariltary.Facilltles&I 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 /> 44111 1 111 1.. <br /> blir"editiOns: <br /> Fill out application completely. <br /> Owner&Contractor-sign back of application,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 /> OVEkTHECOUNTER PERMITTING (copy of contract required) <br /> Ret6bfs if shingles Sewers Service Upgrades A/C Fences Plot/SuNey/Footage) <br /> Driveways-Not over Counter if on .nde publicr6tidwiii ne <br /> eds s.ROW., <br />