Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for PermItting,, D1 <br /> rcccr= ........... ...... <br /> Owner's Name Uft Owner Phone Number <br /> Owner's address I H WW U3 CNIRLMS SAI Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F_ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (15w(le- P alm �ga� LOT 0 <br /> SUBDIVISION 6 MU PARCEL IDN 105 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED _R NEW CONSTRR� ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEMUSE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL 0F <br /> DESCRIPTION OF WORK tM!2(_Au R&CA I I <br /> BUILDING SIZE SQ FOOTAGE=, HEIGHT <br /> W.04314-14-1-144444444- <br /> =13UILDING <br /> VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> [MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1111111111H H11H III HHHH Ill III i H 14+1+1111 HIII M+f+H+H+I+H*+HffH+i+H+H.H+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L_y=N — FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE, REGISTERED Y/ N FEE CURREN ' LILN_J, <br /> Address License# <br /> PLUMBER COMPANY I-tA fnyl ion I <br /> SIGNATURE <br /> REGISTERED I Y L N, FEE CURREN <br /> L N_j <br /> Address LH 1511 T6 6+h I cm 1hd -License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREN. <br /> Address License*.F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED L Y_ <br /> tLN::j FEE CURREN LUN-L] <br /> Address License#-1 <br /> H+H+M­ "qHHi <br /> RESIDENTIAL. Attach(2)Plot,Plans;(2)Sets of 96IIdIn`g=PIa'ns;'(1)set of Eniergy"Foims;R-0-W Peffilt for I new construction, <br /> Minimum.ten-(19)working days after-submittal-date.Required ohiltd,-Construbtion.0i a-ns-.Storrnwafer'Ola' fis w/Sllt'Fence Installed, <br /> Sanitary Facilities&-I.dumpster,;Slte Work-Permit forsubdivislo'ns/large pmjei3ts <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/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Perrnit for all now projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)sets of EftgIh66red Plans.. -- <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Kill 1111111 II'l, I I-Im 11 1 0110, lo Ima R111poilln Allo IP.1011 q A IN110liq <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. (AIC 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 ,-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If-.on public roadways—needs ROW <br />