Laserfiche WebLink
City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 813-78� Building Department <br /> Date Receiv/ Z Z- Z Phone Contact for Permitting �3 1 — `�' <br /> - <br /> / ZO( <br /> Owner's 118 �� Owner Phone Number 3� (pZZ <br /> Owner-/ <br /> +ddress ! J `J re__ Owner Phone Number <br /> i <br /> Fee fnple Titleholder Name Owner Phone Number <br /> i <br /> Fp'Simple Titleholder Address ``/� <br /> 106 ADDRESS <br /> 313 3 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT I�J SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q ,FRAME Q rr STEEL <br /> 0 Q <br /> DESCRIPTION OF WORK S F <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ ice( o� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ l AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> f ' <br /> £. =GAS ROOFING 0 SPECIALTY = OTHER �I <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER � COMPANY c <br /> SIGNATURE c�J REGISTERED Y/ N FEE CURREN Y N <br /> Address l Y7 4d �"w D� - License# C e-C -IDS—]c7 �{Z <br /> 1111111111111111111111111111111'Illlllllllllllllllitllllllltlllllill <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 />