Laserfiche WebLink
' Ilcatl0n Fax-e13-780.0021 <br /> 81348�02o City of Zephyrhills Permit App <br /> Building Departrnent <br /> 0 l <br /> Date Received Phone Contact for Permitting � f( <br /> Q & e Owner Phone Number l J" �✓ _ <br /> Owner's Name J '] <br /> Ownef s Address ` • Owner Phone Number - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS !7 ,' / LOT# <br /> SUBOMSION PARCEL.IDJ// • A6 A b <br /> (OBTAINED FROM FROFERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT _ SIGN Q DEMOLISH. <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR [] COMM C1 OTHER <br /> TYPE OF CONSTRUCTION Q,r� BLOCK- C] FRAME <br /> /• - STEEL Q• �Ip�-- �j r� <br /> DESCRIPT,ON OF WORK. t:S♦ /T l.GIJ�t `dL� p `GiD YYI . �C,�7%t? <br /> BUILDING SIZE —� SO FOOTAGE o HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESSENERGY = W.R.E.C. <br /> =PLUMBING (S <br /> M'.ECHANICAL (S,5i-y7111,, VALUATION OF MECHANICAL INSTALLATION <br /> =CAS = ROOFING SPECIALTY i� OTHER <br /> FINISHED r LOOR ELEVATIONS ( FLOOD ZONE AREA =YES NO <br /> a a • • • a • • . • + • + • • • • e • • e • • • • • • • •.• + • • • • . • • • • <br /> BUILDER i COMPANY <br /> SIGNATURd REGISTERED I YIN I FEE CtIRREN Y J N <br /> Address License#F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ` REGISTERED I Y/N I FEE CURREt, <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRM Y!N <br /> Address License, III <br /> MECHANICAL COMPANY <br /> SIGNATUR REGISTERED Y/ N FEE CURREA YIN I <br /> .Address I A [ f v 71w,F License# <br /> OTHER COMPANY <br /> SIGNATURE y� REGISTERED I Yl / N FEE CURREN LILN <br /> Addre:s License# I <br /> ! l ! ! tIl1111I'i11111'IIt / i"! II [ i'1 [ i1 / 1lt11 ! lllltttllllitll111111111,1 ! ! 1 <br /> RESIDENTIAL Attach(2)Plat 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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)Complete sets of Building Plans PWso Life,Safety Page;(1)set or Energy Forms.R-O-W Perm@ for new construction. <br /> Minimum ten(10)wotking days after subm=date,.Required onsite,Construction Plans,Ster nwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&-1 dumpster._Sne WOrk.Permit for all new projects.All,commercial requirements must meet compliance <br /> SIGN PEF*lrr Attach(2)sets of Engindered Plans. <br /> —PROPERTY SURVEY required for all NEW constriction. <br /> p[redions: <br /> d..i.i.t++t <br /> Fill ou application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C,upgrades over$7500) <br /> •" Agent(for the Contractor)or PaAvi of Attorney(for the(Aner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERM3Ti1NG (copy of ooritract required)' <br /> Reroofs if shingles Sewgrs Service Upgrades A/C Fences(P16USurvey/Footage) <br /> 'Driveways-Nat over counter if on public r>adways..nesds ROW <br />