Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-81 j-ll:lU-UU:.!l <br /> <br />Date Received <br /> <br /> <br /> <br /> <br />,~-II- () & <br />Owner's Name ,'-I ;[) t:f2... Owner phone Number t { 3 - rz 8'0- fcb I <br />Owner'sAddress r;~;~TA 5T ownerPhoneNumberl<iI3-4.bCf- 44~" <br />Fee Slmpl. TIl,.holder NamJA?c;l4ei> ;j)yclL. OWn.. phon. Nu..be, I <br />Fe. Simple TIlI.hold.. Add.... i:;;,o (7'Tcf 6T ze!'lfY!2-I(/(!s t--,0 3 "5 Sq.,;;.... <br />159/0 /7rtl Sf 2~f{YfLll,l!J F~ 33S/f~ <br />I I . PARCJ:L 10#: j/ <br />D NEWCONSTR E3' ADD/ALT 0 <br />D INSTALL REPAIR <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL D OTHER. I <br />DESCRIPTlDN DF WORK I ;/\/S T/f.<.C F6NG €. i. ;1./2. I <? /1M' 7 <br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I <br /> <br />'.'."....."....................................................,.......................................,,....,.........,............,....,...... <br /> <br />~_ BUILDING 1$ /;" tJ 0 0 I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE t::J PROGRES:.E~~.:.::D----"'i;".E.C <br /> <br />D PLUMBING 1$ I . ("I "~71{ I <br /> <br />D MECHANICAL 1$ I VALUATION OF MECHANICAlINSTAuATIO .. d <br /> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER '------- <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />WORK PROPOSED <br /> <br />b .2) /) ~ / lJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />I <br />ef)~p ()O <br /> <br />LOTti <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br /> <br />tt3~e3U <br /> <br />DEMOLIsH <br /> <br />I <br />I' <br />I <br /> <br /> <br />Address <br /> <br />ELECTRICIAN I. <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br /> <br />~ <br /> <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />I <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />1111'11'1111"1 1111111111111.11111111111111111111".11111111111111111111111'111111111111111111111111111111111111111111111111I1111111I11111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for ali NEW construction. . <br />II I I I III III I I I I II I II I I I I I I II I I I I I II I . I II1I I , II I II II . III., . II I . I II II III 1I11 I . IIIII II I I ~ III i i i II I I I i I I i I III i I i III II i I i II I I j I I Ii j I I I ; . · i i II i i j i Iii Iii i <br />Directions: <br />Fill Qut 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 the 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 SelVice Upgrades Ale Driveways Fences (PloUSulVey/Footage) <br />