|
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
<br /> Date Received Phone Contact for Permitting
<br /> 1 1 , 1 1.1 all I M
<br /> Owner's Name r At", Owner Phone Numbe
<br /> Owner's Address Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS
<br /> LOT# C�
<br /> SUBDIVISION PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK'PROPOSED, NEW CONSTRR ADDIALT SIGN DEMOLISH
<br /> e INSTALL REPAIR
<br /> PR006S'E[Y:USE Q SFR Q COMM, OTHER I
<br /> TYPE;OF.CONSTRUCTION Q BLOCK Q FRAME Q STEEL
<br /> DESSI N OF WORK I Ir Cwix 14nvV,,-- 1� (2.-)LZq Sk -L,.' b,V-(A rA r� -14 04/16
<br /> BUI�p! SIZE_] SQ FOOTAGE' HEIGHT
<br /> =EIUILDING VALUATION OF TOTAL 7 CONSTRUCTION
<br /> [-2ELECTRICAL AMP SERVICE PROGRESSENEROY' W.R.E.C.
<br /> $ II
<br /> 1�500
<br /> =PLUMBING
<br /> =MECHANICAL $ VALUATION OF MECHIANICAL'INSTALLATION
<br /> =GAS ROOFING Q SPECIALTY OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
<br /> . . . . . . . . . . . . . . . . . . . . . . . . .. . .I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
<br /> n
<br /> BUILDER COMPANY r3 ef- 0 Lo OU'ef
<br /> SIGNATURE REGISTERED I Y/ N FEE CURPP Ly L N_J
<br /> Address License#
<br /> ELECTRICIAN COMPANY
<br /> "SIGNATURE REGISTERED Y1 N-T FEECURkth
<br /> Address Weense# F
<br /> PLUMBER COMPANY F_
<br /> SIGNATURE REGISTERED L'Y'/'N FEECURREK LY_/N J
<br /> :4
<br /> Address License#
<br /> MECHANICAL -odipmy'l
<br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J
<br /> Address License# Ii
<br /> OTHER, COMPANY
<br /> SIGNATURE -."-REGISTERED Y/-N I. FEE CURREN
<br /> Address Ucense#'
<br /> En6rgyFormp;.R-0,,W Permit for new construction,
<br /> i,RESIDENTIAL Attaqh,(2)Plot Plans; ;i,Of,
<br /> 'Construction Plafis".`�t6nn I
<br /> Minimum ten(10),world -a alker,sub!otol,-'d*.;Rf!C�q!ro.,,qn ter P ans W/'Siit Fence Installed,
<br /> Slip,'
<br /> SanitaqFacilides 1,40mpStenSite CIS, -7a
<br /> COMMERCIAL-' .',Attach(2)ooQfe6s6ts 61fbuildi66 Piins.plus BLife Safety Page Energy Forms.'R-O-W Permit for new Construction.
<br /> Minimum teri,(b)"rking days,'aftirs6bniittel.date.:Re4uliedlbntite."'Cbh6tNdUdr Plans,,Stormwater PIans,.w/,$iIt:Fence installed,
<br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
<br /> SIGN PERMIT Atlaoh',,(2)sdts`,,*f Engineered.Plans.
<br /> _**"PRO?ERTYSURVEY requ
<br /> ired fdrplkNEVV,constructIqn.
<br /> .. . . . . . . . . . . . . . . .
<br /> Directions:
<br /> Fill:out appli6ailon,6ompl4telk.
<br /> Owner it C6ntrdCt6r S'ig'a-.bi di,7'6f,a6pileadon,,,notarized-
<br /> lf'over'$2500;a'Notico'of Cci,'iwdionoehieht:is.:roqulreid..:;(AIC uPgrades:over$7600)
<br /> Agent(for the Cont r.a6tor)-6i-*P6irc6r.'6f,,Ati6meg,(for.the owner)would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER"P4RMIT-,rIN9.' (copy,of contract required)
<br /> Reroofs If shingles gewerv; Service.Upgrades A/C Fences(PloVSurvey/Footage)
<br /> Driveways-Not*ovet,Copnter:#,,on,oubll,O,'!rqgdi"ysi.nee.ds�ROW
<br />
|