Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-OD21 <br /> Bu.ild1mg Department <br /> Date Received <br /> Phone Contact for Permitting <br /> . ............... .... ...... E33=1333M.,....I......... <br /> lclwa I <br /> Owner's Name Al t(InLe, 11 Owner Phone Number q na, <br /> Owner's Address R )i cm- Owner Phone Number <br /> Fee Simple Titleholder"Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F�Mbo P,icvcts mAo\ a�� LOT# <br /> SUBDIVISION <br /> PARCEL ID# (0 <br /> oa_ 7] - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> Ei INSTALL REPAIR <br /> PROPOSED USE 0 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK ►Deg <br /> NJ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> 0 A r�ll <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS O ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS -FLOODZONEAREA '=YES- NO <br /> HHHHHHHHHHi <br /> BUILDER COMPANY gi <br /> SIGNATURE -C REGISTERED (X4!N`= ,,vFEE CURREN <br /> Address -cc,L License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE' REGISTERED Y] N FEE FURREN, <br /> —T <br /> Address License' <br /> F <br /> PLU <br /> MBER <br /> MBER COMPANY <br /> SIGNATU RE REGISTERED Y/:N'l ''FiEE,CURREN <br /> Address- <br /> Llbense#• <br /> MECHANICAL 'COMPANY <br /> SIGNATURE REGISTERED YlN. " ;FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/.N_j FEE CURREN <br /> Address License,# <br /> RESIDENTIAL Attach.,(2).,Plot Plans;(2).sets of;Building,:.Plans;(1):set ofZriergy Forms;R-04W.Permitfor new construction,, <br /> Minimum terin(10)worldn946yi aft6rsubMittailrdaiig:,Reouir6donsit6,Construction Plans;8t6rmwatbr Plans'-wl Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge 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.daysafter Submittal date'Required.onsite,Construction Plans,Stormwater Plans w[SIIt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all'hew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets-of Engineered Plans. <br /> ****PROPERTY'SURVEY­requIred for all NEW construction. <br /> ------ -------------I <br /> "Directions: <br /> Fill out application completely. <br /> Owner&Contractortign,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 PERMIT-TING- (copy of contractrequired) <br /> Reroofs if shingles Sbwers Service-Upgrades AIC Fences(Plot/Survey/Footage) <br /> Drivewayi-Not over Counter If on public roadways..needs ROW <br />