Laserfiche WebLink
City of Zephyrhills Permit Application Fax=813-780-0021 <br /> Building Department <br /> Date Received "dh�,€ r <br /> Phone Contact for Permitting - <br /> -r-rr-r-rr�r-r- p. <br /> Owner's Name Owner Phone Number t I `Z . Z 9 4, �J <br /> Owner's Address t� Q �'� �' '"" �' T ft^/� �� '59Owner Phone Number --f <br /> Fee Simple Titleholder Name ,r�• Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5&0 72uerilL, LOT# � <br /> SUBDIVISION ✓ L '�(' PARCEL ID# � �i <br /> �- . (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED , NEW CONSTR� ADD/ALT SiGN � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION F Q-' 'BLOCK E] : FRAME STEEL~ <br /> DESCRIPTION OF WORK (r1�t <br /> BUILDING SiZE SQ FOOTAGE Q HEIGHT* �___� <br /> -r-r-r-r-r-r-r-i"-r-r'1^r-!<-rr-Y-y-r-r it r"r_T_ <br /> =BUILDING $ 1L? VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, t(C AMP SERVICE PROGRESS ENERGY 0 . W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ Od� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS E:2--_'/ ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS ! FLOOD ZONE AREA =YES NO <br /> •1--1•-6-�1-1•-�--4-i-•i-E-c-d-•1--t•--�+- III"�-i-6--6•-'�'-1-:-1�t-�`'-:-C-`�-i-C-9-�-3•-:-•�-�-�;--9-i�i+-'v-3-�`-$-•6-`r�-n-6 -c-1•-8-;-¢--:ern-4-3-'�'{-�'-@-a- <br /> 3UiLDER _, 4 COMPANYa � <br /> 31GNATURE REGISTERED Y/ N FEE CURRER Y!N <br /> Address A.9ae,;2 /C/ '� +, i ,r� �^ Ji-i. c. License# <br /> LECTRiCiAN ., .� / .�.- COMPANY <br /> 310NATURE REGISTERED Y/ N F.EE CURRER Y/N <br /> Address �'? = �'p'�o^ ,,n 4�- License# <br /> 4 <br /> 'LUMBER ' k� ..... COMPANY l/�1"tAfaF�` I h,ll 'fi?' <br /> 31GNATURE r�� �t�� ,'r7� REGISTERED YIN FEE CURRER Y/_N( ,gyp <br /> Address ff�L! rt -il �� ,f License# risk re 0 <br /> JfECHANtCAL COMPANY /? r , <br /> 'siGNATURE 1 C'O�" __`REGISTERED YKI N FEE CURREN Y/N <br /> Address ,r)�f'2 / ca«a "r.•t+/ 1` '�` License# <br /> y' r� <br /> )TREK ti <br /> UGNATURE REGISTERED Y/ N FEE CURRER T Y/N <br /> Address �� 4� ' /1� f' License# �- <br /> I111IB ! ! 1' tllltlll � illltllllltlitilliiIIiltllliillll •t11111619191i11111 <br /> iESIDENTIAL Attach(2) Plot Pla',•_:; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)v.�orking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, <br /> Sanitary Facilities F, i dumpster;Site Work*Permit for subdivisions/large projects <br /> 'OMMERCiAL Attach (2)completf 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)N )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> •iGN PERMIT Attach (2)sets of E.igineered Plans. <br /> " "PROPERTY'SI.:.gVEY required for all NEW construction. <br /> I..i.,.b-1--6..t...l.es.-1..4.1..1.-a--M_9-}:�..<-i-.,^..-1....6-.1...0--6-601..1-.1~IS--i-.p...4-¢.-6._6..B..i..1-.A-.�{--I...t.�6.-b-E-.D--II•-•�-•b-z'I-B-I..c;-A�.n-.1�.-B.. D...t...1..,9..e... <br /> lirections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of.i)pllcation,notarized <br /> a <br /> If over$2500,a Notice of Comnmcement Is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Pow(;~of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> ,VER THE COUNTER PERMITTING (copy of contract required) <br /> eroofs•if shingles - Sewers .Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on aubiic roadways..needs ROW <br />