Laserfiche WebLink
<br />813-780-0020 <br />.' <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 I <br /> <br />Owner Phone Number I <br /> <br />Owner'sName MA-~;"AJN FE . OriOfe'l?AIVO <br />Owner'sAddress I 51St{ 1,t)tJ.~-r. -Zi!"PII"'~/.f/lls 33Sf4 <br /> <br />Fee Simple Titleholder Namel I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />515l.( <br />I Ct~tf 0;: <br /> <br />,0 <br /> <br />SUBDIVISION <br /> <br />-Zep#~~11f I <br /> <br />D NEWCONSTR c-J ADD/All D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I ~MD 13)((57"'1 As, 1ZeS/OiTN(!....T:: <br /> <br />BUILDING SIZE I -Z SirO I &r~ SQ FOOTAGE I E3 2,0 I HEIGHT I j"2 I, ,,/.1# <br /> <br />1...".....,1..,1,...1,...11..,11........11,..........11,.....11........,111......11,.111,.............,....,...11..1111,......"................. <br /> <br />o BUILDING 1$ <br /> <br /> <br />o ELECTRICAL 1$ <br /> <br /> <br />o PLUMBING 1$ <br /> <br /> <br />o MECHANICAL 1$ <br /> <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE I So <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />~W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />1""11""""""""'1""1"""11""1""""'"."",....."'1..."1'."",....."",.....'11'...'...P..',I...."'.,.,.,I"'I.I".,.."'III <br /> <br />~#I~ <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ZSBSD 8(.uli:}IJ'1 "PL. J <br />, <br /> <br />W.e., t=L 33St1tf I <br /> <br />Address <br /> <br /> License # <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 /> License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />11I1111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (1 O) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111II11111111111111111111111111 <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />