Laserfiche WebLink
813.780.0020 City of Zephyrhills Permit Application Fax-813.780.0021 <br /> Building Department <br /> Date Received \ a� ( O <br /> Phone Contact for Permittingg is <br /> Santa >f lF�a >r• 3 E�ilF it -E'r s�s �•:r.��:v w m2r:f ts- .es <br /> Owner's Name 1 L J Owner Phone Number f (�� J � 1 <br /> Owner's Address 1V T \ Owner Phone Number V <br /> Fee Simple T-rtleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c�� nr _ LOT# <br /> SUBDIVISION c��\ t/r (J CIFr}IRCELID# D 1-�QU <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK is ��lZ� •I <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> J Z <br /> BUILDING $(8 V VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ C <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0' ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER COMPANY 1 0 I j i / <br /> SIGNATURE , t /REGISTERED Y( FEE CURREN Y/N <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 /> 71 Address License# <br /> MECHANICAL COMPANY = I - <br /> SIGNATURE f REGISTERED YIN FEE CURREN Y/N <br /> Address I License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# I — <br /> [[1[111![1.[ I[[[[[.[['[ t.[[1E1111111isa III III <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 wi 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 PERMr171NG (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Piot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />