Laserfiche WebLink
813-780.0020 City of Zephyrhills Permit Application Y 7Fax-81021 <br /> Building Department dd <br /> Date Received L, phone Contact for P mIttl. 1 o 00 <br /> T <br /> Owner s Name �7 (} +�? Owner Phone Number <br /> Owner's Address (� (� J I / l o Owner Phone Number <br /> f <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address y�JOB ADDRESS (` Or k/ 6,&1 n LOT# <br /> SUBDIVISION PARCEL ID# T 6 s (/ ZI— 00 ze — 0 0 i00O-a0 j 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SI_ GN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL = <br /> DESCRIPTION OF WORK S I d r u�t 0 I ! a Qn3 <br /> BUILDING SIZE —� SQ FOOTAGE G��3 HEIGHT <br /> 1 PI . 1 1 1 1 1 11 1 1 1 11. IT7T1"ITI1T7" --- <br /> NBUILDING $ J C VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ So AMP SERVICE = PROGRESS ENERGY = W.R.E�C. , <br /> =PLUMBING $ ��� 1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1� 1 � U <br /> =GAS = ' ROOFING Q SPECIALTY = OTHER l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY •60• .I'I e. .rI L <br /> SIGNATURE �C-- REGISTERED c Y/ N FEE CURREA I Y/N <br /> Address V v� 5ti Q.sy �/I License#I ce,000 0 <br /> ELECTRICIAN COMPANY Fi eG f/,!/ <br /> SIGNATURE �1.. REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address g S fz d / License# 1 &-D(6710.� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRE< I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> Address LlcensQ# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRET I Y/N <br /> Address License# <br /> IIIIIIAIIIIiII111J111111 lilt III II III IIIIaIIIIIIIII1I11111111111111.1-1 <br /> RESIDENTIAL Attach(2)Plot,Plans;(2)sets of Building,Plans;(1)set of,Energy Fonns;R-O-W Permit for new construction, <br /> Minimum ten(10)wbrking-days after submittal date. Required onsite,Construction Plans.Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge 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,Slonnwater 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 Attomey(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 />