Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> i1Z..I I 1717071717,171-rTI-M .......... 4 <br /> Owner's Name `� Q/IO l� Owner Phone Number <br /> Owner's Address J[ Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS l <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 a- <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 1 0 b1) 1115 mew <br /> BUILDING SIZE SQ FOOTAGE HEIGHT AD �] <br /> =BUILDING $ R� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ (�(� AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY LA, I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y <br /> Address ®156 —33�' 9_3 License# it C_C13 ®� <br /> ELECTRICIAN COMPANY :. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 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 aftersubmittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary.Facilities�A dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach.(2)'complete sets:of Building;Plans pubs a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum!en(10)_working�days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> --Sanit'ary`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'Upgmdes A/C- Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter'if on public ioadways;'needs ROW <br />