Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> s <br /> Date Received <br /> Phone Contact for Permitting -- <br /> `2 '+ T Ce. • `TrK �- Owner Phone Number ?13-�'7 i'`F — 33 <br /> Owner's Name ler ow <br /> Owner's Address 15q 14 by" r Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS ID �(t S' 22 �v , S LOT# <br /> SUBDIVISION PARCEL ID# I —l-6-2 1 —t)IN.I) r I D 6 Ob— U ( c,3 Z) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL B REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEELKu <br /> = <br /> DESCRIPTION OF WORK '9_ ( 15 rz d <br /> BUILDING SIZE SQ FOOTAGE ZD HEIGHT <br /> BUILDING $ onVALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS . ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER o' COMPANYalgai't) <br /> nq L,C <br /> SIGNATURE REGISTERED Y/ N FEE CURR Y/N <br /> Address p G, M � f7d LicensJ4 oL <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# - <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I 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 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 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 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.. ":.: "(cwpy-of cbhtract requi�ed),,,�-•• !a <br /> Reroofs if shingles Sewers 7 Service Upgradess 'A% '',Fences;tPlot%Survey/Footage)' <br /> Driveways-Not over Counter ifon public roadWays'.:needs ROW`.' <br />