Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> 2 �2��� Phone Contact for Permitting <br /> Owner's Name o rµ Owner Phone Number <br /> Owner's Address -3-7-71 A11,55 Owner Phone Number) <br /> Fee Simple Titleholder Name Owner Phone Numbe <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 26 A i 5 a I LOT# <br /> SUBDIVISION PARCEL ID# —-*1' b— I --I 621 7 O1 b00— co <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = i <br /> = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK e a( &W 111 <br /> I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ . <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( r !70 <br /> =GAS ROOFING Q SPECIALTY = OTHER t <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =Y IS NO <br /> - - - - - - - - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N JI FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER �{1� COMPANYiu <br /> E SIGNATUR ,Q 1V FEE CURREN IaIN <br /> Address I 9tu 11 �f! t I License# -CCe C 2'7 <br /> liiiiiiiiiiiiiiiiiillllllll 111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Piermit 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 i <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. I <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 <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 />