Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received a I i Ci I aoicl Phone Contact for Permitting <br /> �; e Phone Number <br /> Owner's Name Lx(A 01 V -fl <br /> Owner's Address I C-1%_"—j I V 14 jtAf.I.P_ I- Owner Phone Number <br /> Fee Simple Titleholder Name _71 Own.or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 01I1 mmoien too t[w) Dt , LOT a <br /> SUBDIVISION I Ridden -1�1*Iqar 1, PARCEL IDN I <br /> (OBTAINED FROM PROPERYYTAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT' SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED:USE Q SFR Q Comm. OTHER I <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK YY!W-"On I o5icl )I <br /> BUILDING SIZE SO FOOTAGE= HEIGHT] <br /> R444444-�� 11154311 M-" I lt"4441 1110 111.1 1 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING- 1, IqW 1. <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> Hill.....11—UHHH1 .................HMSIP.1 ............. ......H." <br /> ... ....... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED N�_ FEE CURREN LYLN J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> :bewjPLUMB COMPANY fmcon ER Ail on <br /> SIGNATURE REGISTERED Y N. FEE CURREN YM <br /> I G, <br /> YA loq 5 <br /> Address License# <br /> MECHANICAL COMPMY <br /> SIGNATURE REGISTERED L.Y Nj - FEE CURREN <br /> Address License# F <br /> OTHER =MPANY• <br /> SIGNATURE REGISTERED L�N_ FEE CURREN <br /> Address License#F <br /> ...................................... HHUH +H+Hi+H+H+ <br /> RESIDENTIAL' -Attach(2)Plot Plans;,(2)Sets of Building:Plafis;-(I)set of.En'ergy fo'r*ms;:R-O-W..Permit for now construction, <br /> Minimum.ten(.IQ)wqrklng days aftersubmftl date..Required onsite,+Cohstrucffon Plans;Storynwater Plans w/Silt Fence Installed, <br /> SanliaryFacillUes..,&,I-,du!rpster,.$IteWork-PerTnitfbrsubdivis,lgfnsfiargeprojerts <br /> COMMERCIAL Attach(3)complete sets of building Plane 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 /> 911119 Illp 11"9191111111111 11111151111513111111111111111311111111"11 1111. <br /> Directions, <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement 12 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 .-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if+on public roa4ways..needs ROW <br />