Laserfiche WebLink
813tJ80-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received J Phone Contact for Permitting <br /> .... -v-rrTrT-rTT7-rrrr ... ........... ....... ...... 2-IL.L.LA.Lh <br /> ............A.L.... 1131 , . _ <br /> UJ Owner's Name -, )h (k)'A WJ, (e V11\ Owner,Phone Number 3- -Q72 IN I <br /> Owners Address 9(D- Owner Phone Number F <br /> Owner.Phone Number <br /> JOB ADDRESS F CAJe- Xf 1AM'S ?5z LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER I K,oe-) <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK CA /C <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> ]BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> • <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE (�A 1m rA(2,r re-e e <br /> E REGISTERED Yt N FEECURPEN L_Y.LN J <br /> Address (A r License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly N L_J <br /> Address, License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> MECHANICAL COMPANY, <br /> SIGNATURE REGISTERED' L Y FEE CURREN <br /> Address License# F_ <br /> OTHER COMPANY <br /> • SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> FLicense# F <br /> H i.11 ..... ......... <br /> HHH'HHH!1-H <br /> RESIDENTIAL Attach(2)Plot Plans;.(2)sets of Building Plans;(1)set of Energy Foffns;•R-O-W Permit for new construction, <br /> Minimum ten(10)'w6rking days after submittal date. Required onsite,Construction Plans;Stormiwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I tiurripster,Site Work Permit for subdivisions/large projects <br /> C, <br /> C IAL Attach(2)complete sets of Building Pans.pius 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 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 di '--A/C'-''-­:Fohdes(Plot/Survey/Footage) <br /> Driveways-Not over Co6nter if on P-Gblib'r6idWa'y's:.rfbbdi.ROW <br />