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 />Owner Phone Number <br /> <br />Owner Phone Number 17!; ~ <br /> <br />Owner Phone Number I <br /> <br />ols-ra <br /> <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />fL U C-E. <br />(II Drz <br /> <br />Fee Simple Titleholder Address I <br /> <br />150~ l SL{MfY) er hilI <br /> <br />ISLt{)1m.er 1-1-111 I <br /> <br />o NEW CONSTR D ADD/ALT D <br />[5g INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D OTHER . ~ <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER IA 1(,( M 1(\ '-< ""- / J t1 g I) <br /> <br />DESCRIPTION OF WORK IS-h-LA~.+U (<Al (ZOcfr. vJ} ~ reQr\ roo 1V\ <br /> <br />~ "XI S tF XCf 1 SQ FOOTAGE I 3 q J JZ1 I HEIGHT I <br />1""'11111'11111111"1"11"1111"'111111"1'11'11111"IIIII,tllllll"",IIIIIII,.I.,I"IIIII"IIIIII""11111111111"'111111"'1'11111"11111111 <br />D BUILDING 1$ ~gO .00 I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111II11111111111111111I1111111111111111111I11111111111111111111I1111111111I11111 <br /> <br />Oil- I LOT# I / I <br /> <br />PARCELlD#lG. -d.~ --~ t- 0100 -OOOCO -Oil 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <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 />tJO L-_ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~~:~":: fK~ '7Q~,~ff:~,/O'iijl, :rPC I <br />License # ~O l.f;;) LJ q n <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I License # I I <br /> <br />III111111I1I111111111111I1111111111111111I111111111111111111111111111111111111111111111111111111I1111111111111111111I1111111111111 <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 onsile, 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 />11.1111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 <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 NC <br /> <br />Address <br /> <br />I~~ qO~~'JI <br />tJ 11'7 m h !:/f L-h I /Is .~3SLf II <br />3. 'I' "1\~'.NCOMPANY <br />1"\ r REGISTERED <br /> <br />I <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <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 (Plol/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />