Laserfiche WebLink
si3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name eC� � 2 II <br /> Owner Phone Number 1 3— 17 r 133 <br /> Owner's Address (�S 1IJ�V S"I - (/-S L J "►� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# — W60 —W2 W— ON v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR V J ADD/ALT Q SIGN Q MOVE DEMOLISH <br /> INSTALL 0 REPAIR <br /> PROPOSED USE _ SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION (' BLOCK !� = FRAME = ST/EEL = OTHER <br /> DESCRIPTION OF WORK c�� I (, UiJ —0 �� e 0 / fi �') dc2s ell <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> = BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> = PLUMBING $ <br /> = MECHANICAL $ f 9 VALUATION OF MECHANICAL INSTALLATION <br /> = GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS (� FLOOD ZONE AREA =YES =NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address F 1 License# F <br /> MECHANICAL / � ' COMPANY &fee. Ar(' Con(,(i (00 °n <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT I Y ,N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster <br /> 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$5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />