Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-79MO21. <br /> Building Department <br /> Oats Re(telved <br /> PhonsiContact for Permittiftff ID-1 <br /> rrrrrrTrrr ... ............... ...... <br /> Owner's Name Owner Phone Number <br /> Owner's Address 1H WDD 5I 1 Owner Phone Number <br /> Fee Simple Titleholder Name, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS =5qat) cc ad We PCAkrn WN LOT# F <br /> SUBDIVISION , PARCEL IDN 105—aW 0 1 00(60 C)C)�0—OO)a 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> INSTALL F__j REPAIR <br /> PROPOSED,USE 0 SFR COMM OTHER <br /> TYPE OF coNsTRucTiok 0 :BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK- I QW I <br /> BUILDING SIZE i(a FOOTAGE­= HE16HT <br /> 2 0 1 k a 2 PA44444"44 <br /> =BUILDING 1$ VALUATION-bF,TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING-- <br /> -$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS, Q ROOFING SPECIALTY _OTHER- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 11 1 1+14+H+H4+HI+ 144!H'AH W I I I i I I I I I I H++4++H+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURIIEh LjLNj <br /> Address ­Llconse# <br /> ELECTRICIAM, =1111PANY <br /> SIGNATURE R REGISTERED Y/ N FEE CURW' 1Y I N <br /> Llcense-# <br /> Address <br /> PLUMBER., COMPMY <br /> SIGNATURE REGISTERED. V. ..Y/I-N. <br /> Address 19 511 U,�I chem ft), 1 License I L.5, S N a3 C? <br /> MECHANICAL comf", <br /> SIGNATURE- REGISTERED _1_Yj N FEE CURPM, <br /> Address— - <br /> OTHER COMPANY <br /> 'j­Y/ N,.'.] �.Fmct)kfi)Eh Y/N <br /> SIGNATURE REGISTERED. <br /> Address Liciriseiv; <br /> 4+H+" a 1 6 2 d R 2 1 1 i ifteffiss H!Ave a 2 1 a l fi a B a N t i 2 x <br /> RESIDENTIAL-:; -Attach-(2);Pl6f-P.la-n'r-'�,(2) 'Plans;,(i)set oiEire :*orms;WO-W;Peimltfornew-bonsiryppon, <br /> Ittall 6quired drisitei;-A *hstrublildif-Plaw Storrnwatdr'Plans w/SlIt-176noe installed, <br /> -Permit for subdivIsiginbilar SanitaryWorlc <br /> "COMMERCIAL Attach(3)boMpidtfi sets'af Btilldlrig Plairi's"plus a Life Safety Page;(1)set of Energy Forms.R-0-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 81 dumpster.Site Work Permit for all new projdcft..All commercial requirements-must meet compliance <br /> SIGN PERMIT Attach--(2)Sbt§of EhiilriierediP lens. <br /> ****PROPERTY.SURVEY reaulred for all,•NEW Construction. <br /> .... ......... <br /> Directions., <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If Over$MOO,a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> Agent(for the 6onirik-tor)'or Power of Attorney(for the'6wner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -(Front of Application Only) <br /> Rerooft If shingles Sewers Service Upgrades NC Fences(Plot/Survey/Footage) <br /> ' ROW <br /> Driveways-Not over Counter lion public needs <br />