Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 6 <br /> Phone Contact for Permitting <br /> Owner's Name s �L JOwner Phone Number 8 J <br /> Owner's Address 0 j Ave-. Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address I, Q <br /> JOB ADDRESS E�� IJ . 0 LOT# <br /> SUBDIVISION F PARCEL ID# 00 "I?3 -19 120 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL a REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK off ambL i nSfid( 2C-N Gk- 1 <br /> BUILDING SIZE SQ FOOTAGE 1�� HEIGHT l l'►1e�• S �71, �� <br /> =BUILDING $ qJ-0 0 <br /> _ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I <br /> /L�icense# <br /> --OTHER- - - - - - - COMPANY-- - — C�.�: - �h C: - --- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y1/22N <br /> Address License# !�J (� <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 subdivision0arge projects <br /> COMMERCIAL Attach(3)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 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If d 2 over$ 511`a:Ncticg required. A/C of Commencement is re u <br /> . , .. � q ( upgrades over$7�500),••'- _;rs;,. t:;�...:.. <br /> ** Agent r tfie'contract r).o or Povv(fo enoFA tomey(for the owner)would be someone with,notarfzedaetfgr$om owngr,authorizing same <br /> ,i <br /> OVER THE;C••OUNTER-PERMITTING � <br /> .';'?',; (Front of Application Only) '<: <br /> Reroofs if shingles --Sewers =_`' Servit a Upgrades A/C Fences(Plot/Survey/Footagef <br /> Driveways-Not over Counter if on public roadways..needs ROW d�' <br />