Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Q Building Department <br /> Date Recel`ved ,5` Z I—��L v Phone Contact for Permittin <br /> g 4l 3 ,� q'S'- l:� <br /> -��� <br /> Owner's:Name C ',/--�LA� C�►� VA, w oneo Number <br /> Owner's Address 3 V l Z - V 1. OW14, Owner•P..hone.Number <br /> Fee Simple Titleholder-Name Owner Phone Number- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS . J LOT# <br /> SUBDIVISION. PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEW CONSTR ADD/ALT 0- SIGN • _ = DEMOLISH <br /> INSTALLB REPAIR <br /> PROPOSED USE 0 SFR 0 = COMM = OTHER <br /> TYPE OF CONSTRUCTION, 0 BLOCK 0 FRAME = STEEL _ <br /> DESCRIPTIOWOF WORK Ci 2- <br /> BUILDING SIZE I SO FOOTAGE= HEIGHT <br /> =BIJII DING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ b4?_p�-@ C ► . 2eP��r��Us <br /> [MECHANICAL Is d U VALUATION OF MECHANICAL INSTALLATION - <br /> 55 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED'FLOOR ELEVATIONS FLOOD-ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/:N FEE CURREN Y/>N ' <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURd I Y/ N FEE CURREN LYL N_j <br /> Address License# <br /> PLUMBER COMPANY . <br /> -'SIGNATURE REGISTERED 1, Y'/'N FEE CURREN Y/N <br /> Address =W1 <br /> License# `V,MECHANICAL COMPANY hn�r Y' y <br /> SIGNATURE REGISTERED' Y/`N FEE CURREN Y/N <br /> Address el(p For+ �— - License# <br /> OTHER ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEEICURREN <br /> Address L-icense,# <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 Plansm/.Slit Fence,installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/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 constructiom <br /> Minimum ten(10),w6rking days after submittal date. Required onsite,Construction Plans;StormwateuPlansm/Silt Fence Installed, <br /> Sanitary Facilities&11 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets•of•Englneered Plans. <br /> ****PROPERTY SURVEY,requlred for all NEW construction.'. <br /> -------------- <br /> `Directlons: <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.,;,,.:...,Servige';Upgrades,•A/C 'Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public,roadways.:needs.`•ROW <br />