Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Receiyed Phone Contact for Permitting <br /> Owner's er <br /> 6 gll, 7S - <br /> Name Owner Phone Nu Ne <br /> Owner's Address .............. Owner Phone Numb3ter <br /> Owner Phone Number <br /> JOB ADDRESS 4 Z: LOT# <br /> SUBDIVISION PARCELID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN E2' DEMOLISH <br /> E INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL E;:] <br /> DESCRIPTION OF WORK ff-W&7a1e-_57S (a/ <br /> BUILDING SIZE So FOOTAGE= HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING <br /> I$ <br /> -- <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> i 2 i i i i i I i 2 1 i i m i i i i i i i i i i i i i i I 1 1 i m i i i i i i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License'# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_j <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> *I a I I I I <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 new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormw' a'fer 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 /> I I i I I i i I I I I I I I I I I i i A444444�p I I I I I i I I i i i i I W I i i I I I I I I I i i4 I i i I I I I i I i i i I I I R444444444 gigiiiiiiii F.W <br /> Directions: <br /> Fill out application completely. <br /> owner&Contractor sign back of application,notarized <br /> If over$2500,'4 Notice of Commencement is required. (A/C upgrades over$7500) <br /> be someone with ' <br /> Agent(for the contractor)or Power of AttomeK..(for.the owner) notarized letter fr.om;.owner-auttfortzip4's"'a" <br /> Te <br /> OVER,THE COUNTER PERMITTING' r6q6lred) <br /> �-' `96tvi6a.0 radeg kC� 'nces(Plot/Survey/Footage) <br /> R�Toofs if shingles Sewers. : pg <br /> DriveWays-Not over Counter if ohpu I d"fib"adwa-y-s.'Jleeds-ROW. <br />