Laserfiche WebLink
a 10-10U-UVZD City of Zephyrhills Permit Application Fax-813a80-0021 <br /> Building Department <br /> Date Received . ��r�� <br /> Phone Contact for Permitting <br /> Owner's Name cs ,-. �= Owner Phone Number 1 t I f! <br /> Owner's Address c'Q ! ` `� ' °� T��'f���� � yl Owner Phone Number �- <br /> Fee Simple Titleholder' Name C•j~w : C_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 35" LOT# 1� <br /> SUBDIVISION �'ti=lr PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED _NEW CONSTR ADD/ALT SIGN 0 DEMOLISH <br /> 8 INSTALL 8 REPAIR <br /> PROPOSED USE ®J SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION " �� BLOCK FRAME STEEL = <br /> DESCRIPTION OF WORK ��t'e3 J�. l�•F' c 3� 'S-dt��'G.'► �J �cr� Z �ac:^� } <br /> BUILDING SIZE �^ SO FOOTAGE ,$2$ Z HEIGHT* �� <br /> 'i-R"a"r�-nr^'rms-t"sI-'�-rc'-i-rs-r"r-r-r1-T'Tr'r1"r1'�- r'rr-rrrrr'r_rl-'o'z"~rr'rmrr's-rr~r�-r"t"Q..r'r".r1"r' <br /> NT- <br /> =BUILDING $ C6St oo o VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. �} (C)6 � AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ -1 <br /> =MECHANICAL $ ( 0 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -i--i-i-1-1--N-II-1--i--1-4-i--1-i-C-i-1-i--1--i-i--1--0-N-F-I�i--I-i-i-1--i--I-1- -1-1-'r-i-:--0-lr-i-1-14-11 ; A .N-er-°+�N-i-i-i-i-1-1— <br /> BUILDER' `, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI\ <br /> Address /��" J�j>!"<e ",7 ,�1" License# G "0 '� <br /> ELECTRIC <br /> iA(V COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y J N <br /> Address dd' - =�PpO "" of e License# 8 oc /4 � <br /> PLUMBER ^,p •..-„,�, COMPANY =_11xrx d b"f F l ce n ��I <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT- Y/_N,� .� <br /> Address• ��,.. r. �A-:Z: o"e YIi��.� � ] License# a F"c 0 Q/%/-2,:v d' 1 <br /> MECHANICAL COMPANY p"" Idv <br /> SIGNATURE ^� ' REGISTERED I Y/ N I FEE CURREN Y/N <br /> Address ` I t"�'' +C'." `a�J�aacJi U/ /ra5�'} License# CIICO <br /> OTHER / - r �--'^� COMPANY I ?,?,el ,: / a ��F' <br /> SIGNATURE ?�" ''� <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address rf f�J License# <br /> iliii1111" iilII111 � 111Nlllllllllillllllllllllllllll •illll" Illlllllllll . <br /> RESIDENTIAL Attach(2)Plot Plan_; (2)sets of Building Plans;,(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)vad}rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence instailed, <br /> Sanitary Facilities& 1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete-gets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-.W Permit for new-construction. <br /> Minimum ten(10)i.•)rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities.s 1 dumpster.Site Work Permit for all new projects,All commercial requirements must meet compliance <br /> SiGN PERMIT Attach (2)sets of E,igineered Plans. <br /> "PROP ERTY-SU IVEY required for all NEW construction, <br /> .1--4-1-1-4- i-6.i-.E--6-1-�b-i.d-E- <br /> 3irections; <br /> Fill out application completely. <br /> Owner�Contractor sign back of i aplication,notarized <br /> If over$2500,a Notice of Commt,ricemertt is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Powur of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 3VER THE COUNTER PERMITTING (copy of contract required) <br /> 3eroofs,ifshingles - Sewers :3ervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on Public roadways..heeds ROW <br />