Laserfiche WebLink
<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />/ hi il <br />Owner's Name '-- _ " c,J ,. <br />/' Owner's Address I ,~/.3,' <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />I JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />/ DESCRIPTION OF WORK <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />-<7-%-00 <br /> <br /> <br />,I- <br /> <br />i ;: ;" <br />l .,~- _.- ,....... <br /> <br />, <br />/'. ,I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />/ <br /> <br />l :' [' <br /> <br />" .\ <br /> <br />/ <br /> <br />/ ~.. <br /> <br />LOT # <br /> <br />/ <br /> <br />; <br />, <br /> <br />'j <br /> <br />EJ <br />D <br />D <br />1/ ,'Sf <br /> <br />I <br />B <br />D <br />D <br /> <br />PARCELlD#1 D~ -0l(P-~~ - 6\~b _ 06000 - 0350 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE D <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />/ 'I /1 <br /> <br />ii, . <br />, 'I <br /> <br />! ",.'i <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT I <br />"'111'1'1111111111111111"11".1'11111111111111111111111111111111'11"'111"11"1111111111""1'...1111111111111111111""'1".111111111111111111 <br /> <br />1$ 1/. ,. 1 <br />1$ I <br />1$ I <br />1$ I <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111II1111111111I111111111111111111111111111I1111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiilllllllll111I11I11111111111111111111111111I1I11 <br /> <br />/C] BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <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 />/ BUILDER ,I <br /> SIGNATURE " <br /> Address <br /> ELECTRICIAN <br /> SIGNATURE <br /> Address <br /> PLUMBER <br /> SIGNATURE <br /> Address <br /> MECHANICAL <br /> SIGNATURE <br /> Address <br /> OTHER <br /> SIGNATURE <br /> <br />i t <br /> <br />/ <br />./! <br /> <br />COMPANY ~ <br />REGISTERED <br /> <br />/.. / , <br />Y/ N <br /> <br />"', .- <br /> <br />. , <br />", / <br /> <br />", <br />''"'- <br /> <br />" /, \.. <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address License # <br /> <br />11111111111111I111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111'11111IIIIIIIIIIIIIIIIIIIIIIIilllllllllllll <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 />1111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111 <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 A1C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />