Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />r, " ;, L Fax-813-780-0021 <br />l:~ Y07 Cj''-i~ 5'540 <br />b Jl.Q C) <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~Ot.tlo Goll f3ou~(xard <br />I I <br /> <br />D. ADD/ALT . <br />D REPAIR <br />_ COMM D <br />D FRAME D <br /> <br />DESCRIPTION OF WORK I j050?t:;L- '3 J ~ it ~ 5-, ~ll!' ~ <br /> <br />SQ FOOTAGE I ~q crt) I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL ID# I <br /> <br />WORK PROPOSED <br /> <br />frZr <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />[tJ <br />m <br /> <br />/j'/) / <br /> <br />1$ 'Iv, 000.00 <br /> <br />1$ I 00, 00 <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />c:J GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING <br /> <br />I <br />I <br />I <br />1 <br />D <br />I <br /> <br />11'\ .;}..~ - d. \ - 6lJl.-'"U. LJ'YOV OVDD <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN <br /> <br />D <br /> <br />DEMOLISH <br /> <br />MOVE D <br /> <br />OTHER I <br />STEEL _ <br /> <br />r <br /> <br />OTHER Il:1l u m / n urn <br /> <br />W~ Sib.^-.:) <br />HEIGHT I /&" <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIAL TV D <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />OTHER' <br /> <br />DYES <br /> <br />DNO <br /> <br />~ ~ <br />BUILDER COMPANY <br />SIGNATURE)( ~. _ _ <<EG'''''.'' <br /> <br />Address 1).) FL I <br /> <br /> <br />ELE=IC~N~ ~ ~ <br />SIGNATURE - - - ~ o:n:E -~ - . .'"""'.,, <br />Address -I c Dr VL, <br />I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />~ 5L.'5~ I <br />~'8I!'At2~,;, Y/N I <br />License # I ESOOoO~)(]6 I <br />~'amJnc.?:>5,-~~ I <br />~ ~RRENT I Y/N I <br />License # I ESOooo';;lJO<6 <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <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 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 />****PROPERTV SURVEY reqUired for all NEW construction. <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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. (A/C 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 Fences (PlotlSurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />