Laserfiche WebLink
<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />S(on If Er'.'(..q <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address S / d q 8 T tot S. T <br />Fee Simple Titleholder Namel <br /> <br />C HA...., f <:? <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT I <br />111"11"11111111111111111111111111111"""'1111111111111111111111""1'111111111111111""1111111111111111111..,I"III...II..,rlllllllllllllllll <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />5" ~ 4 <br /> <br />r"" S7 LOT # <br /> I PARCELlD#1 { J -..l ~ - .} I - OL> j 6 - I l' ~ (5 C> - (.') 0 10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH <br />INSTALL REPAIR <br />SFR D COMM D OTHER I <br />BLOCK D FRAME D STEEL D OTHER I <br /> <br />B <br />D <br />D <br />I /t/C <br /> <br />o u"'"1-- <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ Lf ) i S-b3 I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />I1IIII111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111I11I11111111111111111111 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />BUILDER <br />SIGNATURE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />~Q3 ~ ~ J I~ =- ~.f.:t 13 i., ~ <br />Y / N _ FEE CURRENT I Y / N _ <br />License # I <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I~'--/ ,. ,/l:7J <br />SIGNATURE . / .J-...-. ~ A t;;."" <br /> <br />Address I ~ 06 .3 'JE T ftJ ~ <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br />11I111111111111111111111I11111111111111111111111111I1111I1111111111111111111111111I1111111111I1111111111111111111111111111111111111111111111111111 <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 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111 <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 />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br /><~ <br /> <br />, <br /> <br />License # <br /> <br />L~-f #....+r'l- 4k- .r-IV L <br />I Y / N I FEE CURRENT <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />:J'vO <br /> <br />l3L..vQ <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />