06-5773 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit Application . Building Department Fax-81~-ltlU-UU~1 ... Date Rt.lcelved DESCRIPTION OF WORK I I -d 1l{^v ~- lOTI !I ./7-; / _ . I PARCELlD#1 \\-~<"':'-d\- 00/0- 002.6o-CX::::>\OI (OBTAINED FROM PROPERTY TAX NOTICE) r=:J' ADD/ALT 0 SIGN D MOVE 0 D REPAIR CJ COMM 0 CJ FRAME 0 ;; Y-(f>J 11/:(: Ch4"'b~ c9-~ BUILDING SIZE ~I sa FOOTAGE I I HEIGHT I . . . . . .. . . . . . , . . . . .. . . . . . . . . . . . , . .. . .. . . .... ,.......... ~ . . .. . .. .. .. .. .. . . .. . .. . .. . .. .. .. .. .. . .. .. .. .. .. .. . . . . .. . .. , . .. . . .. . .. . .. .. . .. .. .. . .. .. . . .. Owner's Name Owner's Address Fee Simple Titleholder Nam Fee Simple nlleholde' Add"'~ JOB ADDRESS I I f I SUBDIVISION DEMOLIsH PROPOSED USE TYPE OF CONSTRUCTION E3 o o I NEW CONSTR INSTALL SFR BLOCK OTHER I STEEL D WORK PROPOSED I I' I OTHER I D BUILDING 1$ I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ L( /3lS;~,# I D GAS 0 ROOFING 0 FINISHED FLOOR ELEVATIONS I I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION SPECIALTY 0 OTHER FLOOD ZONE AREA DYES DNO II...........................,..............,..........................,.......,..........'........,......................................,......1 I OTHER SIGNATURE COMPANY REGISTERED I I I I I License # I I I~"s~ ~t/...d~~ /. YI)Y' FEE CURRENT I Y/N : : . License # I . / 53..2-.. I I I BUILDER SIGNATURE COMPANY REGISTERED Y IN FEE CURRENT Y/N License # Address COMPANY REGISTERED ELECTRICIAN SIGNATURE Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N MECHANICAL SIGNATURE Address YI N FEE CURRENT Y/N Address License # 1111' III' Illl' 11111111' 1111' 1111' 1111111111111' 1111111111'1'"1111111111111' 1111111111111111111111111111111' 111111111' 1111111' 111111111111111111'1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. ReqUired onsile, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. . 111111111111111111111111111111111111111111111..1111.11l'I..II..IIIIIIIIIIII.llliIIIII1111iillll.lillillllili1IIIIilillllillliilllilliiliiiiiliillii Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attomey (for the owner) would be someone With notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Appllcallon Only) Reroofs Sewers Service Upgrades AlC COMMERCIAL SIGN PERMIT Driveways Fences (PioUSurvey/Footage)