Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Per mittl <br /> 6LLLj4xL QM <br /> ownees 'Name Owner Phone Number <br /> Owner's Addressi om U3 (LPyess es-4- Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E�aHoq comit, LOT 0 <br /> SUBDIVISION I veyodo J PARCEL iDN OLA a d I D I 10 0 U 00✓ COW 0 j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e <br /> NEW CONSTR ADD/ALT' SIGN- ED DEMOLISH - <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR F-1 Comm OTHER I <br /> TYPE OF CONSTRUCTION Qt <br /> BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 6104-1 0y) '10-5V i <br /> BUILDING SIZE SO FOOTAGE HEIGHT. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> I$ ICC-500-010 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> ®GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD,ZONE AREA =YES No <br /> ............... ....... <br /> HHHHHHH:1 4+H+§+ <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address Ucense# <br /> PLUMBER COMPANY <(�D) Y" On <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y-1,W <br /> Address -1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED LY=1N FEE CURREN <br /> Address -License# F <br /> OTHER .COMPANY ­ i <br /> SIGNATURE REGISTERED I Y/ N- FEE CURREN <br /> Address F License# <br /> ................. ............. <br /> HIHH! <br /> RESIDENTIAL- Attach(2)Plot Plans;(2)sets of Building Plans-,(11)Set of Energy'Forms;R-O-W Permit for new construction, <br /> Minimum.ten,(10)working-days aftersubifiltial date.-Required onsI16,Construction.Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Fac-IlItIes&I.dumpster,SIterW. ork,PermIt for subdivisions/large projects <br /> COMMERCIAL Attach(3)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/Slit Fence installed, <br /> Sanitary Facilities&I 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 /> 11111111 Bill 'Willi <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300,a Notice of Commencement Is required. (AIC 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 front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> DrIv.r.way—sNot over Counter if.on public roadways-needs ROW <br />