Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />t-ax-l:ll ::I-fl:lU-UULI <br /> <br />(jj) <br /> <br />Owner's Address <br /> <br /> <br />Date Received <br /> <br />SUBDIVISION <br /> <br />. PARCELlD#11f -Zh-ZI- 6010 -17<100 - OO~() <br />(OBT "INED FROM PROPERTY TAX NOnCE) <br />SIGN D MOVE 0 <br /> <br />g 13 -7e:2 - ({Jf// <br />ownerPhoneNumberL~ 13 ~9C;7- 235%' I <br />Owner Phone Nu~b~r I I <br /> <br />: <br />I <br /> <br />LOTt# <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />S'4me.. <br /> <br />I <br /> <br /> <br />E1 NEW CONSTR r=J' ADD/ALT D <br />INSTALL D REPAIR <br /> <br />PROPOSED USE D SFR 0 COMM 0 OTHER <br /> <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D OTHER I I . <br /> <br /> <br /> <br />;;~~~;;~~;;~~ .T.~~,.. ,I, ,~:.~J,., ~~~;~~,(: ~.. ,~,~T~~,~~,t~.:, ..,.~~,~ ),~~ :".~",..~ <br /> <br />o BUILDING 1$ c~ \ D D D 67).. I VALUATION OF TOTAL CONSTRUCTION . <br /> <br />o ELECTRICAL 1$ ~ 15f5' I AMP SERVICE . 0 PROGRESS ENERGY D <br /> <br />D PLUMBING 1$ I p\W~ q ~ <br />.. Plc* -\-0 ~cA-+O <br />o MECHANICAL 1$ I VAlUATION OF MECHANICALlNSTAlU.TION ~~' <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES <br /> <br />DEMOLIsH <br /> <br />WORK PROPOSED <br /> <br />W.R.E.C. <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> <br />DNO <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <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 />Address License # <br /> <br />11111' 1'1111' 11111'. II' 111111.11111111' 11111111111111' 111'1111' 1'111'1111111' 11'1111111111' 1'11'1111'" 1111111111111' II. 11I1 i 1111111111111111111111 <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 />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 />Attach (2) sets of Engineered Plans. <br />....PROPERTy SURVEY required for all NEW construction. . <br />111111111111111111111111111111111111111,11111111",111,'II"II,.III,IIIII.III,liIIIIIII11iiilllllillilll.ili1IIIIilillllillllillliliiilliiilliiliii <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500. a Notice of Commencement 15 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 <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways <br /> <br />Fences (Plot/Survey/Footage) <br />