Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />\vI L C, tI rrc... l~ I uP S'TE /..fO 0 <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I j~q 12-5- <br />I C { 1- '-I <br /> <br />'-J-; <br /> <br />?~7.).--s <br />I <br />B <br />o <br />o <br /> <br />cg <br /> <br />A-J-L. <br /> <br />lOT # <br /> <br />I L{ 2-.b - 2- t ""'0010 -02.. 000 -co ~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />SUBDIVISION <br /> <br />PARCELlD#1 <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />Q <br />o <br /> <br />DEMOLISH <br /> <br />B <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I <br /> <br />BUILDING SIZE lift? V 5" 0 I SQ FOOTAGE I 2-1 7 9' I HEIGHT I 't';:---r <br />1IIIIIItlllllllllllllllllllll111111111111111111111111111111111111111"111111111111111111111111111111111111111111111111'111111111111111111111111111 <br />D BUILDING "1$ I <br />. ItJ.J Of) 0 <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 11111111111111111 i II <br /> <br />BUILDER 1---7~L / r7 I COMPANY I tJlt/ co~ H/lrl/l/D Ivt/c:-- I <br />SIGNATURE /ct'~. '11.. REGISTERED I Y I N I FEE CURRENT I Y / N I <br /> <br />Address I License # I <br /> <br />ELECTRICIAN I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y IN <br /> <br />Address I License # I <br /> <br />PLUMBER I COMPANY I <br />SIGNATURE " REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE " REGISTERED Y I N FEE CURRENT Y / N <br /> <br />Address I License # I <br /> <br />OTHER I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y IN <br /> <br />Address I I License # I I <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i III i 1111111111111111111111111111111 i 11111 i 11111111111111 <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 Facllitles & 1 dumpster <br />Attach (3) sets of BUilding Plans; (1) set of Energy Forms. <br />"~inimum ten (10) WOrking days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />1/ commerclal requirements must meet compliance. <br />ttach (2) sets of Engineered Plans. <br />* *~PROPERTY SURVEY required for all NEW construction. <br />111111111111111111111:111111111111111111111111111111111111111111111111 1111111111111111111111111 1111 111111111 111111111111111111111111111111111111111 <br />Directions: i <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 />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC <br /> <br />OTHER I -R e R CJo -F <br />STEEL D OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <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 />