Laserfiche WebLink
City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received tip aL11100Iq <br /> Phone Contact for Permlttlnq I <br /> Owner's mama onov, flogie5 owner Phone Number <br /> Owner's Addressig(000 LO WPt ,655 SA Owner Phone Number <br /> Fee Simple Titleholder Name, owner Phone Number <br /> Fee Simple Titleholder Address <br /> I — <br /> JOB ADDRESS LOT 0 <br /> SUBDIVISION H i eV 1 )INV 1 PARCEL IDN <br /> I (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN- Q Q DEMOLISH <br /> -R INSTALL 8 REPAIR <br /> PROPOSED.USE SFR F-1 Comm, OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK. W6, Mao tT <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION-OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ', $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> jr, 1$ FD-00 <br /> =MECHANICAL. $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> II <br /> ................................ ....... <br /> BUILDER I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED Y/ N -1 FEECURRFN <br /> Address License#, <br /> PLUMBER COMPANY 13A!2TJ9LW <br /> SIGNATURE REGISTERED Y[+N . -FEECURREN - I WIN <br /> I <br /> Address ftemicwe, Vy�' License# <br /> 19 Lill <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License. # F-- <br /> PANY <br /> OTHER -COM <br /> SIGNATURE REGISTERED Y N- FEE CURREN <br /> Address License J <br /> RESIDENTIAL.. Attacti(2).Plot.Plans;(2)sets of Building.Plans;-(1)set of Energy Forms;R-O-W Permit for new construction,. <br /> Minimpm.ten(11%Working-days aftersubihittal dal®. Required onilte,"ConstiUcitim Plans;Stormwater-Plans wl Slit Fence Installed, <br /> Sanitary-Facilit I les&I.dumpster,-Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach'(3)complete sets of BuIldl-rig'Pleins plus a Life Safety Pa,ge.(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 /> Sanitiry Facilities&1 dumpster.Site Work Permit for all now projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)sdts of Engineered Plans. <br /> ""'PROPERTY SURVEY.required for all NEW construction. <br /> PP:W <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(foe the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COU14TER P iRM17TING .(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not overCounter ifon public roadways-neeft ROW <br />