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 Receive~ <br /> <br /> <br /> <br />(Oitll., <br />.1 Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br />r I JJ7 <br />r]~ ']- r? Q}Lt- BLVD <br /> <br />I /JfeA J~-l 5 b vlMe- 1,;. (fll.1 <br /> <br />D NEW CONSTR 0 <br />D INSTALL D <br />PROPOSED USE D SFR D <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />I ~e,lJt 'jA4,'#S, Pi/hi. CIA :>"3 >A-I I LOT # I <br /> <br />PARCELlD#1 34- -de-:; - C} \ - DOOO -D03DO.- oo~ <br />-----L (OBTAINED FROM PROPERTY TAX NOTICE) <br />~ SIGN D MOVE D DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br /> <br />BUILDING SIZE I ~ .) {} <br /> <br />//IA <br />r~ <br /> <br />SQ FOOTAGE <br /> <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />t30/( <br /> <br />I <br />I <br />I ~IOC ~ <br /> <br />I VALUATION OF MECHANICAL INSTALLATION (.0//<'6 Cc~c.. -./ /' <br /> <br />r-l (/I')J (\'r'-{ - (\ 5 <br />L-J SPECIALTY D OTHER ~J~ ./ <br /> <br />I FLOOD ZONE AREA DYES NO <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WoR.E.C, <br /> <br />[ZJ BUILDING 1$ 4tJ, 00 0 r <br />I2l ELECTRICAL 1$ 10 cJOV :J- <br /> I <br /> , <br />[2J PLUMBING 1$ 10. 000 + <br /> .,/ <br /> . <br />La MECHANICAL 1$ i 0, & 0 0 t- <br /> . <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Address <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~ <br />COMPANY <br />REGISTERED <br /> <br />]A'- 77 <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License <br /> <br />URRENT <br />I (2 6 c., I 2.. 5 0 5'3 "3 <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />Address <br /> <br />ce. <br /> <br />~c..h 81\J0- -d\ lOOLo <br /> <br />I <br /> <br />License # I C6 c \ 2 S D 13 "'} ? <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT Y I N <br /> <br />Address License # <br /> <br />1111I11111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111I1111111I1111111111111111111111111 <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 />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />II,IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />