06-5943 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 '-'Date Received OWner Phone Number Owner Phone Number I Owner Phone Number I e;-5 .715 6'$} J 8 J 5 30e 2.. 9.~<=t ~/Owner's Name J' Owner's Address Fee Simple Titleholder Name jlt)-h sf 2ephyrh)'J/5;FI; 3s5"cfZ I I PARC:ID#Ur- 26 - U - 06/Q -- il..//6(J.- 0090 (OBTAINED FROM PROPERTY TAX NOTICE) D NEW CONSTR D ADD/ALT D SIGN D MOVE D D INSTALL D REPAIR PROPOSED USE D SFR c::J COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK c::J FRAME D STEEL D OTHER I ~DESCRIPTION OF WORK I S'e -1-~.p..-J 'I () ') },}-} t pO (J-~~Je ":)h fq5e sAc:d \_/BUILDINGSIZE 1'2' X W" I SQ FOOTAGE I 240 I HEIGHT I 10/ I I I , I I 1 I I , , I I I I I . . I I I , , I I I I ~ I I I , I t I I I I I , . , I I I I 1 I , , I I , I I I I I I I I , I I I I . , I I I I I I I I . I I I , . I I I I I . I I , t . I I I I , , . I I I I I I I I I I I I I I I I I I , I I I , , I I I I I I I I . I I I I I I . I I I , , I Fee Simple Titleholder Address I 15SJJ I " -i,,, j//JOB ADDRESS LOTi SUBDIVISION WORK PROPOSED DEMOLISH \/0 BUILDING D ELECTRICAL D PLUMBING D MECHANICAL ~()DIOD I 1$ I 1$ I 1$ I D GAS D ROOFING c::J SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE UJ~ 5"~;~ He) ~-(I (J vJ 't\ ~~ Y I N I FEE CURRENT Y/N Address License # ELECTRICIAN I SIGNATURE . Address I PLUMBER I SIGNATURE I COMPANY REGISTERED Y I N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE Address I ,,/ OTHER I SIGNATURE Address I License # 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111I11II1I11111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. "'~PROPERTY SURVEY required for all NEW construction. 111111111111111111111111111111I1111I11111111111111I1111I11111I111111111111111111111111111111111111111111111111111111111111111111111I11111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMMERCIAL SIGN PERMIT Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW