Laserfiche WebLink
ts�3-iao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received. <br /> Phone Contact for Permitting <br /> €€-Ca911aa lax € € € <br /> Owner's Name ' ' ' �. . GU�7� ' /— Owner Phone Number ,q-i <br /> 7 <br /> Owner's Address ���1 '- , j'' " G� Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS <br /> Z�/ ✓` ,� Q�J G� - � ���//� �L J LOT# <br /> SUBDIVISION / � PARCEL ID# O � (�-��^ !�0'AW40-1)5 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR a ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM �� OTHER _ lj <br /> TYPE OF CONSTRUCTION . BLOCK Q� }FRAME /�y� STEEL <br /> DESCRIPTION OF WORK �� �/ �C�vV �y��� "L/ G' ✓ /��(� <br /> BUILDING SIZE X -?i�f SQ FOOTAGE HEIGHT <br /> =BUILDING $/141 VALUATION OF TOTAL CONSTRUCTION <br /> i <br /> ELECTRICAL $ ��O� AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ c 00 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY +i <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHERAN COMPANY V'/ ``G/ i L Q f �G1_6 <br /> SIGNATURE REGISTERED Y/N FEE CURREN �Y/N <br /> /� <br /> Address ��/ / � License# �(/! <br /> soft 11.1flif � [.fQlgi $ Itf1�If$ f91allll . g Itlllf1V1131v all lHl@IEI€ 1t t � tfi � il61f1lEi€t� € ilEl 1 <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 /> - - - - - - - - --- - <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 Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />