Laserfiche WebLink
813-78M020 City of Zephyrhills Permit Application Fax-813-780-0021 1 11 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> '.111a I:1 IiI 11a31I <br /> Owner's Name g`` O V 149 115 Calf*^+,�t;iV Owner Phone Number <br /> OwneYs Address /✓3/ C✓ A,_ Tak't a Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1 11 <br /> JOB ADDRESS 00 read /t�1�le, P// LOT#. <br /> SUBDIVISION d �r� PARCEL ID# 5525 2/ 01,40 00cOo 6000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED tF�I NW CONSTRALL B REPAIR SIGN Q Q DEMOLISH <br /> PROPOSED USE QI SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCKQt- FRAME = STEEL /� <br /> DESCRIPTION OF WORK Zy0v &10,/] See OT/� N <br /> ,r <br /> vire QY kie A4 <br /> BUILDING SIZE A SQ FOOTAGE HEIGHT <br /> -IVIE IL X-X-X-C CFCCC�C��?e-iCi'ii[TGi�C_ C€'✓<ICtY['�IC�Ei-CCt '€'iz7CL'L���eE'>Er <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ECTRICAL IS q on D AMP SERVICE J O PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ ! V 1f <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address / License# <br /> ELECTRICIAN ' COMPANY OG4�NPi{/(n S '�� V V(.e-1 , �/fG <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N /f <br /> Address 1&2+f a4eat.S . 33q License# EGt 3O 4 <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 /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> iaaaa fig ialaa its ll111114i,ila gas is9.1,11■I11i.IIi'I.I2-1aaffiilia all lilt.al <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/Sift Fence installed, <br /> Sanitary Facilties&1 dumpster,Site Work Permit for subdMsicnsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0 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(far the contractor)Or Power of Aftomey(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 />