Laserfiche WebLink
<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />'?/1S Co l-c ^-' TA-L <br />I Lib It. <br /> <br />fu-,,-,IL <br /> <br />k}..Jc..... <br />5[. <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />~- jo- ~ (. <br /> <br /> <br />.52-( ~Z?- <br />t.rtJ7 - 126 -6cG1.. <br />I <br />I <br />I <br />I LOT # I I <br />PARCELID#I \4 -21.0- 2\ - 0:270 -DOODO -.006 P <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />E3 <br />D <br />D <br />I R~I/J1V-C <br />. <br /> <br />I <br /> <br />I <br />B <br />D <br />D FRAME D <br />f/'P.c-/ ft Ik.JL P IR-T-c <br />SQ FOOTAGE I I <br /> <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />DEMOLISH <br /> <br />/' <br />IV <br />o <br />e.- / e-oCf f2.. 'c.. <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />;:;;^-- <br />HEIGHT I <br /> <br />~~CjlS. <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />D BUILDING <br />oa/ ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~PROGRESSENERGY 0 W.R.E.C. <br />I'D <br />VALUATION OF MECHANICAL INSTALLATION <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES ONO <br />COMPANY <br />REGISTERED Y/N FEE CURRENT ~ <br /> <br />~50^ <br /> <br />- <br /> <br />ROOFING <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~'~'I <br />ELECTRICIAN <br />SIGNATURE <br /> <br />/A' <br /> <br />License # I <br /> <br />I 1~%ff~EEC!~~C:-~ <br />;ry License # IFLc6ISl.-VV <br />I <br /> <br />/I~ <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />Address <br /> <br />:> TIc) S" <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED Y/N FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT ~ <br /> License # <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Faciltties & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Faciltties & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construction. <br /> <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. (AlC upgrades over $5000) <br /> <br />Agent (for tha contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />