Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fa"13-7e0-0021 <br /> Building Department <br /> Date Received Phone Contact for PermittingI <br /> t1lr <br /> Owners Name Rdber-' /$ ON,CA �a'�Qn Owner Phone Number <br /> Owners Address 1 s, I�+h 5� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Q�� <br /> JOB ADDRESS Go 157ss 6+� f h i 115 FL .�iZ7 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK C 10L n lM i n QLo ws I mil'O r- <br /> S I ZQ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ �I G VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ V AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 7ThVS <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY V OT <br /> SIGNATURE REGISTERED Y/ FE CURREK I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr. L11 N <br /> Address (�/� License# <br /> OTHER l COMPANY (� ICf r y e U i QfS nG <br /> SIGNATURE 1r REGISTERED Y/ N FEE CURREK I YY/N <br /> Address ROrToIck License# 6RC057-7 <br /> 1 1._LLILI_I 1 1_LLI_I 1.1 1 1 1_I_.1 t_1.1_I.t_I_I_I_I.1.1 1 1.1 LJ 1 1.1 11 1 1.1_I_I_I_I.1 1._LL1.1 1_1 1 1 1 1 1 1 VIA t. <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,Stormwaler 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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plaits,Storrmwater 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/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />