Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> .... ......... ..........-...rrrTTTT!..... <br /> Owner's Name Mau rOevner PhoneQmber <br /> Owner's Address I t PVC) 6"LVOwner Phone Number <br /> ty Owner Phone Number <br /> 60 <br /> JOB ADDRESS aqG LOT# <br /> SUBDIVISION F PARCEL ID9 MOC) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Keplact one-6cA Qr o 0 Z_- <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ S-OZ, (31D I AMP SERVICE DUKE ENERGY Q W.IRE.C. <br /> =PLUMBING <br /> [MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_y L N <br /> Address License# <br /> ELECTRICIAN COMPANY CQ+yj CPA V-\C- <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# F_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyj N J <br /> Address License# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN-_j <br /> Address —I License# I <br /> HHHHH flli I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 2 11111 i 2 1111111111 1 1111111, `1 f I.H.1 11111111111111111 f i 11111111 <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 subd-ivisions/large 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,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 /> 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(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING_._.....,,(cppy,.of,contract required),,. <br /> Reroofs if shingles Sp,ers SEiryi, (PlottSurvey/Footage) <br /> Driveways-Not over Cbunter if qn,'pU611"dwb <br /> " 1 -roadways. <br />