Laserfiche WebLink
813-78MO20 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> DItte Received Phone Contact for Permittl ng <br /> C L le— Owner Phone Number- Cal P5�?v t <br /> Owners Name -Icc :r <br /> Owner's Address I399"11 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> r—_ <br /> JOB ADDRESS I 7q, LOT# <br /> SUBDIVISION I PARCELID#1 07,44a,tkoplv'> -05bo, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRM ADDIALT SIGN DEMOLISH <br /> R INSTALL F-1 REPAIR <br /> PROPOSED USE = SFR 000MM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORKLl- <br /> BUILDING SIZE FQ FOOTAGE HEIGHTI <br /> . . . . . . . . . . . <br /> =B.U IL <br /> DING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> MECHANICAL 1$ q3 <br /> �g VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N I <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE F REGISTERED Y/ N FEE CURREIN LYLN J <br /> Address License <br /> r--_- <br /> MECHANICAL COMPANY yZs �4" (2&f) <br /> SIGNATURE REGISTERED Y/N FEE CURREK -rX/N J <br /> Address r License# 1 CA(,LjlsL*7b I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN I 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 Facilities&I 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 Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsits,Construction Plans,Stormwater Plans wl 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 /> . . . . . . . . . . . . . . . . . . . . 6 , 65 — y — Ift . . . . . . . . . . . . . . . . . . . . a . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign bark of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7600) <br /> Agent(for the contractor)or Power ofAttomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerools If shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />