Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number ~ e13) <br /> <br />Owner Phone Number I <br /> <br />913) ,Bg "200).. <br />71 3> -:20 I Q, I <br />I <br />I <br />I <br />I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />I 3 Sty' -ee-+- <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />5701 <br /> <br />I 3 ~t r-ee.J. <br /> <br />LOT # <br /> <br />PARCEL ID#/ <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />~ <br />D <br />rg] <br /> <br />D <br />D <br />D <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />PROPOSED USE ~ <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK IRe V" oo.c <br /> <br />BUILDING SIZE I y.;-5< '30 / I SQ FOOTAGE I 15 50 HEIGHT I I go I <br />111111111"11111"1111111111"""111111111111111"'""1"'1"".1'1111111111111111"1""1'1""11'11111111IIIIIIIIItlllllllllllllllllllllllllll <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />11- 2(0-2.; - 00,,0-08400-0080 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />OTHER <br />STEEL <br /> <br />1$ J I <br />10 ( ) . u ( , <br />I v <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS ~ ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111I111111111111I11111I111111111111111I111111111111I111111111111111111111111111111111111111111111111111111111111111II1111111111111I111111I1111I111 <br /> <br />BUILDER ~'..-/.. .~/~ /' COMPANY 1-10"" e.. Ow -"\ e.r I <br />SIGNATURE _ - / /'1 ~ "'GIS""ED I Y I N I ,., CUM'" Y IN <br /> <br />Addre;; _ / .' License # I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br /> <br />License # I <br /> <br />1I1111111111I111111111111111111III111111111I1111111111111111111111I11111111I1111111111111111111111111111111111111I1111111111111111 <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 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 onsite. 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 />IIIIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111II11111111I1111111111111111111111111111111I1111111111111111I1111111111111I111I1I11111II11 <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 Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THECPUNTER PERMITTING (Front of Application Only) <br /><.. Reroo~~) Sewers Service Upgrades NC <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br />D <br /> <br />PLUMBING <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WRE.C. <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />