Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting �2�— 7 5 <br /> Owner's Name I I G S Ivw• ov Owner Phone Number <br /> Owner's Address 6&0 6 45 I!A Owner Phone Number <br /> s 33SY Owner Phone Number <br /> JOB ADDRESS V G S vk /��i��s {L 3� Ti LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR= ADD/ALT ®� SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK e L eawl f rVtO..t ,. � yt �► ►Z ( '�j <br /> BUILDING SIZE I 6 SQ FOOTAGE 21�� HEIGHT y <br /> =BUILDING $ ` ' O� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ O�Q AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ 1'?J <br /> =MECHANICAL $ ` VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> � BUILDER COMPANY Y'► Gouh Gn.,�U Lt <br /> �4r` c-. <br /> SIGNATURE REGISTERED Y/ N FEE OURREN LY.LN <br /> Address' 12 0t Ccfrbt R0 - License# CGe_0e2-2s 6 <br /> a 3y rr7 <br /> ELECTRICIAN COMPANY =e-Deue-ei r4t.v_ <br /> SIGNATURE /��f REGISTERED Y/ N FEE CURREN YIN <br /> Address 40 br- c4W License# L V C>O L <br /> PLUMBER ( `✓ COMPANYl� Jh.C C livkt'jl� <br /> SIGNATURE Ulf REGISTERED I Y/ N FEE CURREN Y/N <br /> Address 31 Z �i.J�✓L i�S C� Wrs),etll License# I CgL P-I Z&- 3 <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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,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 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. (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 (copy of contract required) <br /> Reroofs if shingles Sewers 4Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on p`utllc roadways:.needs ROW <br />