Laserfiche WebLink
v, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780 0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name 74 1 114 fflU a Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> . .3�"�C( )er Phone Number <br /> JOB ADDRESS / 7V L L 3 LOT# <br /> SUBDIVISION PARCEL ID# " / —?00 & "V oo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q/ FRAME = STEEL = <br /> DESCRIPTION OF WORK ��o ©�'J <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> t' <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY /TC k6Vtf rU 11"44 <br /> SIGNATURE 7 REGISTTErERED Y/ N FELICURREN LY/N <br /> Address I 8/1d f L- License# I (re- �50 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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 Facilitie"s.&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach)(2)complete sets-o,f 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 /> 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. (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/G°-- Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if,on,public roadways..needs ROW <br />