Laserfiche WebLink
1 813-780-0020 City of Zephyrhills Permit Application Fax-818-780-0021 <br /> Building Department ,, ^(�� <br /> Date Received y Phone Contact for Permittin 1g Q'WDci <br /> Owner's Name Coro "n ► )e(A Owner Phone Number <br /> Owners Address 3 1-1 Ve Ze �(11�`\S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> drress t ^ Q \ r <br /> JOB ADDRESS 38-319 14� f' vc_- /J. 1 1 r1 r�11s F 3��`lL/� LOT# — S 1(( 1 <br /> SUBDIVISION 6� I PARCELID# 11'2Lo-21 -6O\C).C� -0 -)1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = B(L`OCK 0 FRAME = STE L <br /> DESCRIPTION OF WORK �� _ <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> B 7UILDING $— VALUATION OF TOTAL CONSTRUCTION <br /> 1 r <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ `0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt` LILN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr` Y/N <br /> Address LLiccense# C <br /> OTHER COMPANY <br /> SIGNATURE rr REGISTERED Y/ N FEE CURREK J I Y/N <br /> Address 7 vV1Q1 S 11` mot License# 1CC vucl <br /> 111111111111111111111111111 11111111111111111111111111111111111111 <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,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 /> �: <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 (copy of contract required) <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 />