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 /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name ~ h Do <br /> <br /> <br />Owner'sAddress I 3 g 773 U u.l~An <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />C;'r <br /> <br />~t:>S'l <br /> <br />Fee Simple Titleholder Address <br /> <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br />, << <br />DESCRIPTION OF WORK B i.{ ;' L cI " . a. rei.. W : c" e, <br /> <br />BUILDING SIZE I 2 t/ tal, ISQ FOOTAGE ~ if I HEIGHT I 9 1- 0 " I .y 000 &ht::., <br /> <br />...11.........111...111......".........11..........11.........11................11.....11............11,.1111.....111111......111111111.1111111,. <br /> <br />~ BUILDING 1$ .s; gOD . () 0 I VALUATION OF TOTAL CONSTRUCTION <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br /> <br />D <br />D <br />D <br /> <br />JOB ADDRESS <br /> <br />Sam -<- <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />SIGN <br /> <br />D <br /> <br />DEMOLISH <br /> <br />SFR <br />BLOCK <br /> <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br />tJ, 0 e..., / <br /> <br />W,R.E,C. <br /> <br />D <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />Address <br /> <br />f)~ <br /> <br />3 ~ 7 7 3 U i-t L t'c>-14 <br /> <br />C>I,.v;/ ~ r <br /> <br /> <br /> <br />jgJNO <br /> <br />~ <br /> <br /> G~ <br /> FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />e;,J- <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 />111111111111111 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111 <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 subdivlslonsllarge 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 />II111111111111111I111111111111111111111111111I11111I11111111111111111I111111111111I1111111111111I111111111II1111111111I1I1111111111I11111111111111 <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 />