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 />1- 1-0 Y <br />'St <br />12.:tb st. 2-nlt\s.-rl 33Stlt <br />I <br /> <br /> <br />3SZ)20~-l2Z.3 <br />Owner Phone Number I(il 3) 49"" - r.,IzA <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address IS54tJ <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />~ <br />I <br /> <br />l Z-tb st. <br /> <br />2t~s) FL 335lJ2 <br /> <br />I PARCEL 10#1 <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE <br /> <br />D <br /> <br />DEMOLISH <br /> <br />E3 NEW CONSTR [=:J ADD/AL T D <br />INSTALL m REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK [7J FRAME D <br /> <br />DESCRIPTION OF WORK brn':J\ ('".. \\iI1~ nt'AI . DOnA :IitS~ tl IJLrCl7f- <br /> <br />BUILDING SIZE I ISQ FOOTAGE I I HEIGHT I <br /> <br />....111..11........'.11...111.'1111.....................'.11...,..11......111......1111111.......111......111111111111..11111111111111111..,,11... <br /> <br />D BUILDING ~ 57. ci\) <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS ~ <br />FINISHED FLOOR ELEVATIONS I <br /> <br />OTHER <br />STEEL <br /> <br />I ~e .cf61:: <br />D OTHER I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <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 />~NO <br /> <br />11"1,."","1111"'11"'11111","111"",'1,'111'1'..'....'11111"11'.,.,..,....111",....11.11111111111'""".'..'...'1"..""...,......1111 <br /> <br />BUILDER ! Cb- <br />SIGNATURE /'.. <br />Address <br /> <br />~ C)4~ <br />I Y I N I FEE CURRENT <br />License # I <br /> <br />Y/N <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <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 />IIIIIIIIIII11111111111111111111111111111111111111111111II1IIIIIIII11111111111111111111I111111111111111111111III1IIII1III11111111111111111111111111 <br /> <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 (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsionsnarge 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 onsite, Construction Plans, Stormwater Plans wI 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111111111111111111111111111111 <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 Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />