Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting- 01 5-7 <br /> Owner's Name y +10 Owner Phone Number <br /> _M6 , __ I <br /> Owner's Address Lam W Owner Phone Number <br /> Fee Simple Titleholder Memo Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C01001C A__))*1bS a- LOT 0 <br /> SUBDIVISION NC 0 PARCELID101t) ffiQ-a I— Ok�D— 00 --CC <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NiEw coNsTR ADDIALT SIGN DEMOLISH <br /> .R INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE L_ SO FOOTAGE HEIGHT <br /> 044.&Ivills! 111 94�" M4444%NW44444-W IJ4 W444446U444-& <br /> "BUILDING. 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING 1$ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> ®GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 4-1, bn PLUMBER L4 I <br /> SIGNATURE COMPANY Atw' Ic <br /> t�m �V\(� <br /> REGISTERED Y/ N FEE CURREN I Yt* <br /> I --< - <br /> Address CC—)] License# 1a2,) <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED �Y/ N FEE CURREN LL/N_ i <br /> Address License# <br /> OTHER COMPANY ' - I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ............ ....... ......................... <br /> RESIDENTIAL -Attach(2):Plof Plans:(2)sets of Building.Plans;(1)set of EnergyForms;R-O-W Permit for now construction, <br /> MinImium.ten-(1.0)working days aftersubmi Ittal date.-Required onsite,Construction Plans;Stormwater'Plans w/Slit Fence Installed, <br /> Sanitary Facilities&,I jdumpster,Site Wo&Peffnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plains 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 ail NEW Construction. <br /> 111,41ol 1111111110110.11 R,Mill 1010" 11 <br /> Directions: <br /> Fill out application completely. <br /> Owner 6 Contractor sign back of application,notarized <br /> If over$2500,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 It shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DrIvewales-Not over Counter if on public roadways..needle ROW <br />