Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br /> <br />Date Received <br /> <br />./ Owner's Name 'f', <br /> <br />./' Owner's Address I 7 S , ~ . <br />Fee Simple Titleholder Nam~ <br /> <br />InaP <br /> <br />./' JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />oA~ <br /> <br />flLl AJ <br /> <br />WORK PROPOSED <br /> <br />E1 <br />o <br />D BLOCK <br />I ~e-\'\('L- . <br />I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />./ DESCRIPTION OF WORK <br /> <br />BUILDER <br />/SIGNATURE <br /> <br /> <br /> <br />BUILDING SIZE <br /> <br />t1b <br /> <br />.-- <br />tl <br /> <br />/0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br />D GAS <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />o <br /> <br />I <br />7 J \" - I b \6 I <br />I <br /> <br />! <br /> <br />LOTt# CD <br /> <br />34 -;). is -@\ - b \ 00 - 00000- ootto <br />(OeT AINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLIsH <br /> <br />OTHER I I <br />STEEL 0 OTHER I I' <br /> I <br />HEIGHT I b t=l <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />/--\ <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />COMPANY .1 <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />o <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />+-.\(~9 (,. 0 ,-yo.... Si...A.... <br />I Y I N I FEE CURRENT <br /> <br />License # I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/N <br /> <br />Y / N I FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />1111'1 t 11'11111 11111' '1111111'11111111111111111111.1111111111111111111' 1111111111111111111111111' 11111111111111111111' 11III11111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FOm1s <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy FOm1s. <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 all NEW construction. <br />111111111111,111111111111111111111111111'1111111111,11l'II,IIIII'IIII'III,llllli,llllillliiilllllillillllili1IIIIilill..illllilll;lliiliiiiiliillii <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 the contractor) or Power of Attomey (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 />