Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />r-aX-CrI,j-IOU-UUZI <br /> <br />Date Received -V I L\ () (p <br /> <br />Owner's Name N ' (- f L I' 5 <br />Owner's Address I t.oqq I [. (c;lIYltlha (/c.. rzd Ski fe.. B-~~ <br />I <br /> <br /> <br /> <br />-{t ~)l 0 <br /> <br />BLOCK <br /> <br />I <br />I <br />I <br />LOT # I <6 7 I <br />PARCELID#124,2lt;, ZI-60~ -00000 -027d <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />IT OTHER I <br />D STEEL D <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />B <br />D <br />D <br /> <br />DESCRIPTION OF WORK LPO( t Mod..tJ se+-4...p <br /> <br />BUILDING SIZE I J 2. X '39 ISQ FOOTAGE I L{ &'1 HEIGHT I <br /> <br />TfTTTTTTfTITTP"'" I"'" II""" II..".',.." 'II'....."'..""'..""'.""""......'.!.""". ..'1',1"."."".."..." ,.,...",.,."."..,. <br /> <br />1$/~ooo.~} I <br />1$ Ljoo.o 6 I <br /> <br />D PLUMBING 1$ 2 Sc:; ,0,) I <br /> <br />D MECHANICAL 1$ r;()b,c~ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />.w.w.w.111111111111111"III' 11111111 , ' , · 1111111111111111111' , 111111 ' 111 ' , 1I11111111 . 1"1111111 . , , . . I' 1I111111 ii, II . . 111I11I111 . 11I1I1 , . , . 1I11111111 <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~/ <br />D <br />D <br /> <br />SFR <br /> <br />OTHER I <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R,E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATiON <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />:~~::::':. ~d~ <br />:~;;~~~~NI~~ <br /> <br /> <br />Address i <br /> <br /> <br />:~~N:~:~. ~C> <br />~I~~~~~I~:L!V:~ <br /> <br /> <br />Address . <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />I (rW/flLEct!~+/~N <br /> <br /> <br />License # I <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />111111111111111111111111'111111111111111111111111111111.111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111 <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 onslle, Construction Plans, Stormwater Plans w/ Slit Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projecls <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 w/ Slit FenCe installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERM'T Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. ,;, ~"" <br />111111111111111111111111111111111111'111111111111111111111111111'1 i "1"11'"11111111111111 i J 11111111111111111111 ill i I i il'U I111 i II j IIII1II1I1I1111 <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 (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />