Laserfiche WebLink
813-780-0020 City of Zephyrhills P�rmit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting F — a$&l7 <br /> Owner's Name `` Owner Phone Number <br /> Owner's Address all� d e Owner Phone Number <br /> 24 tit'115 , El Owner Phone Number <br /> JOB ADDRESS own-tr 6LJJresS LOT# <br /> SUBDIVISION PARCEL ID# _ (JZ lU C�— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT 0 SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM 0 OTHER o <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME [= STEEL = . <br /> DESCRIPTION OF WORK Ll/ eG! <A k k 54 ma le- <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING $ f UC7 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ Q AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VA ATION OF MEC ANICAL INSTALLATION <br /> rJ <br /> =GAS = ROOFING SPECIALTY i u OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY wit art t r- <br /> SIGNATURE REGISTERED , N FEE CUR n Y/N <br /> dq <br /> Address !3 rr, License# efee Ile. 130 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED JZV N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 <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. (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 y ot.contract:regiiired),'; <br /> Reroofs if shingles Sewers Service upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if ompublic roadways:rieeds'RO.1/U <br /> i '„ _ <br />