Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received f q-2o 2b Phone Contact for Permitting S7 ��J — 14®-7 <br /> Owner's Name & , Owner Phone Number <br /> Owner's Address ,5303 11)"", c��7" e®� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �3®3 Iac LOT <br /> SUBDIVISION PARCEL ID# ��ro- ®000" AV00 - jo800 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q / <br /> DESCRIPTION OF WORK ( A O4-' ®u fS ��0 t�� S�i Yi +'�s /itSt��O r4 <br /> asp� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT FG� O y3 <br /> =BUILDING 000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 8 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 910 <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER Y COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, <br /> Address - License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURt REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_j FEE CURREP <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY �i G�od� Ba�"7 1ve— <br /> SIGNATURE �e REGISTERED Y/ N FEE CURREN Y/N <br /> Address IIY -!7l/rr�+ �� ,A �535 2' License# tie OyIP370 <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 dunipster;Site WorkPermit'for subdivisions/large projects.:" <br /> COMMERCIAL Attach(2)complete sbts•of;BuildIng,Plans plus_a'Life-SafetyPage (1)set of'Energy Forms.'R-O-W Permit,for new construction: <br /> Minimum ten(10)working days after submittal, Requiied:onsite,Construction Plans;Stormwater Plans,w/Silt Fence installedf, <br /> Sanitary Facilities&1`.dumpster::Site;Work',Permit:foi'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 backofapplication,''notarized', ;;'i" <br /> If over$2500,a Notic®.of Gomm®ncement'is required.ii;(A/C`u0grhde, over$7500)' <br /> Agent(for the contractor),or Powero_f,Attorney;(for:the'ow6ier)'would'a.eos_omeone�'with.notanzed'letter:from'owner:auth`odzingaame <br /> i .. <br /> f. act:°r aired'NTERPERMITTING' cor io comtr <br /> OVER"THE COU ';�( ,py eq- ) • <br /> R r ofs if'shin les Sewers Service.0 grades 'PJC,`°'_ " Fences''�PIotLSuive/Foote'e <br /> e o g P9 (. Y g. ) , <br /> r if.on. ublic roadwa s::needs ROW <br /> Driveways-Not over Counter p y <br />