|
<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />t-aX-tll j-(tlU-UU[1
<br />
<br />Date Received
<br />
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder NamJ
<br />
<br />JOB ADDRESS
<br />
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />c:J' ADD/ALT
<br />CJ REPAIR
<br />o COMM
<br />D FRAME
<br />
<br />. '(j ,~/t,,; a
<br />DESCRIPTION OF WORK v
<br />
<br />BUILDING SIZE I SQ FOOTAGE I ' ' I HEIGHT I . I ~\h~::'~tx--.
<br />
<br />, , , , , . . , , , , , , , . , , , , , , , , , , , , , , , , , . , , , , . , , , , , ~ , , . . . , , , . , , ~ ' , . , , . . , , , , , . . . , , . , , , , , , , , , , , , , , , , . , , , , , , . , . , , , . , . , , , , , , , , , . , , , . , , , , , . , , , . , , , :);, , , , , , , . , , ,
<br />
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />(OBTAINED FROM PROPERTY TAX NOnCE)
<br />SIGN D MOVE D
<br />
<br />DEMOLIsH
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />
<br />::
<br />
<br />1$
<br />
<br />D MECHANICAL 1$
<br />
<br />c=J GAS D
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />D
<br />D
<br />D
<br />
<br />40&.0 f)
<br />
<br />:
<br />I
<br />I
<br />D
<br />I
<br />
<br />AMP bpR'JCY /
<br />
<br />t=J
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W,RE.C,
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />ELECTRICAL
<br />
<br />PLUMBING
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />ROOFING
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />.111111111111111111111.11111111111111111'1'11111111111.........'..1111...'."...11.1111"...........111..'"1111111..11111111111111111111111111111
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y IN
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br /> License #
<br /> COMPANY
<br /> REGISTERED YI N FEE CURRENT
<br /> License #
<br />I COMPANY
<br />REGISTERED YI N FEE CURRENT
<br /> License #
<br />I COMPANY
<br />REGISTERED YI N FEE CURRENT
<br /> License #
<br />
<br />
<br />Address
<br />
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />I1111111111111I '1111" 11111111111111111111111111111 , III , 111111111 1 111111111111111111 , 11111111 " I " II 1 " III 1 111111111 i 1111111111111111111111111111
<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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />COMMERCIAL Attach (3) sels of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required onslte. 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 all NEW construction. ,
<br />1111I1111111111111111111111111111111111111111111I11111."'lllllllllllllllllllllillllllllliiilllllillillllili1IIIIilillllillllilllilliiliiililiillii
<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 Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
<br />
|