Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> r ' <br /> Date Received \ -Phone Contact for Permitting <br /> Owner's Name \ `^'r— ` �C—��1� Owner Phone Number <br /> Owner's Address 1' 0.��-1 Owner Phone Number q !� Q <br /> Y�•1 kk5 �"L 2 Owner Phone Number )o <br /> JOB ADDRESS I kkt" -t MPS 2 V ` J 2 LOT# <br /> SUBDIVISION I PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B ADD/ALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK c lkov.% <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> ll <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ 1�'ry <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ll <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRENI Y/N <br /> Address Lk95I �Y l skV\l tc_?_W;T00Yyt' License# I CAA Cn 5?_+4 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRENI Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRENI Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRENI <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEECURRENI Y/N <br /> Address License# <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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomrwater 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. <br /> u-00nDGDT 01 ID\/CV f-,-1l�ICIn/........1.....H.... <br />