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 />Zef""' I L" ,,~ i <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />3 - 7 (5 - .) <br />35"2 - 7.<' - f (<;. ~ I <br />I <br />I <br />I <br /> <br />; t :'{ I <br /> <br />Owner's Name f C . c.- 1:- ~F :, <br />Owner's Address '131 \ t1 7 ? ~ (K Dr . <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />),c'( I. ! <br /> <br />~ \. V <br /> <br />" <br /> <br />JOB ADDRESS <br /> <br />','",,- <br /> <br />LOT # <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />IgS~-F <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />e3 <br />D <br />D <br /> <br />ADD/ALT D <br />REPAIR <br />COMM D <br />FRAME D <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />PARCEL ID# Ii: ). <br /> <br />. ~~ {~ ~ t - ,.~ ,', ',,-,. '~ ( ,( c.. ( ;' <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I ;-<~~f- <br /> <br />HEIGHT I / Sf. I <br />0"'" ~~,~~;~~"""., 'i;~" Q~~'~" i"'" ~;~~;~:~~ '~~ ~~~: ::~~~;,~~"""""""""""""""""""'" , <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111111111111111111111111111111111111 , 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />cg. ~f' <br />COMPANY ~fl' (crf . 4'''' I ~ \,.v c. , <br />REGISTERED Y / N I FEE CURRE I Y / N I <br /> <br />LJ( pc>! a So . fee I rL LIcense # I L C c... . OS8;;2 19 <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE 1/,5dd <br /> <br />D <br />D <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 />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />;if~c'/ <br /> <br />/1 <br />I. "'---- <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />ckL <br />/7cg <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />LIcense # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br />II , 11111111111111111 " II , 11111111111111111111 " 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 11111111 <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 w/ Silt Fence Instailed, <br />Sanitary Facilities & 1 dumpster: Site Work Permit for subdivisions/large projects <br />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/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for ail new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <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 />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />SIGN PERMIT <br /> <br />.1111.....111111....11.....1111......111...111..111111..111.............................................................1.................1.....11 <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />