Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� 2-41 Phone Contact for Permitting ( l"J, 5-4 <br /> Owner's Name �'{ (ah Owner Phone Number g� 7'70C,70, <br /> Owner's Address 3 p ✓✓ atkefSw Q, Owner Phone Number <br /> Q 1 IS r 7 3q 2- Owner Phone Number <br /> JOB ADDRESS130�3 Ei I an &V LOT# <br /> SUBDIVISION PARCEL ID# D -2(p-2 1- C)CM'Dv l00-�Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT �STGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR �6MM = OTHER <br /> TYPE OF CONSTRUCTION f=C�.(.t BLOCK A�,�,{- FRAME = STEEL <br /> DESCRIPTION OF WORK ' M0nUA XA I sl <br /> G n QnJ LIP) 1lo l l sl nl <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> EO'BU§NG� $ C� o0c VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 10 <br /> 0 AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> Connec-f-* exl'sfi�g eleG-M'c <br /> =PLUMBING $ 213 l <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION k)C v <br /> I L--�7 -)- <br /> =GAS = ROOFING 0 SPECIALTY = OTHER ��j� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NOv <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address N License# <br /> ELECTRICIAN COMPANY GAS I A <br /> SIGNATURE , I REGISTERED N FEE CURREN Y/N <br /> i`v" <br /> Address �� LAS 7 `'7-ok N a- � o License# I US`2,60C sc? <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ,�1 Lii-c/eennse# <br /> OTHER ae COMPANY S1 NS�T1 <br /> SIGNATURE T REGISTERED / N FEE CURREN Y/N <br /> Address lvS SO/ [PMA 3 3b3 7 License# GJ� <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 subdivisions/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&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> PERMITAttach(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 Attorney(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 />