|
<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Date Receivltd
<br />
<br />
<br />Owner's Address q. 0 ,-\-7. \
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />C~evY\- (' e'1
<br />
<br />s:~
<br />
<br />pd
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Owner's Name
<br />
<br />F.. 'hopl. Tltl,hold" Add"'~
<br />
<br />JOB ADDRESS I _ 2- Ct. A...-r ~ "1
<br />
<br />I I
<br />
<br />SUBDIVISION
<br />
<br />\2...:::.(
<br />PARCEL ID# I
<br />
<br />Ur\\-\- 10\
<br />
<br />LOT #
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE 0 DEMOLISH
<br />
<br />WORK PROPOSED ~ NEW CONSTR B ADD/ALT 0
<br /> INSTALL REPAIR
<br />PROPOSED USE 0 SFR 0 COMM 0
<br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0
<br />DESCRIPTION OF WORK _0 (....1"1 au;t +
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />o
<br />
<br />OTHER I
<br />
<br />BUILDING SIZE I I SQ FOOTAGE HEIGHT I
<br />111111.",III,IIIIIII'I'lllllllrll.IIIIIIII"IIII,III'11111111111-'.1'111'.'1'1,.'1111'1111.,'111,111'111'1.IIIlllllr,IIIIII,111111111111'111'1111
<br />
<br />
<br />
<br />~
<br />~
<br />
<br />1$ 3 I 00 . 00 I
<br />)
<br />1$ I
<br />l SOD- 00
<br />"
<br />D PLUMBING 1$ I
<br />
<br />D MECHANICAL 1$ I
<br />
<br />D GAS D ROOFING 0 SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111
<br />
<br />:~~~RE I j\.~ ~ I ;.~~:::~~ ~~ "(P'!;';':'NT ~i'dlb'1 I
<br />
<br />
<br />Address rL- License # I I
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />o
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />~
<br />
<br />Address
<br />
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/ N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<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 />1111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />RESIDENTIAL Attach (2) Plol Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction,
<br />Minimum ten (10) working days after submittal dale. Required onsite, Construction Plans, Stormwaler Plans wi Silt Fence installed,
<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 wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all 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 />r
<br />
<br />- ~-<:"~/"'.I...,., ._(,_
<br />
<br />I j~,- /... "
<br />
<br />11 COMPANY
<br />. REGISTERED
<br />
<br />I
<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 />SIGN PERMIT
<br />
<br />Di~~~ti~~~': . . , , I I I I . I I I I . . . . I I I I , , I I I . I I , . I I . . , , , . I . . , . . , , , , I . . , , I I I , , . , , . . . I . . , , I I I , , . , . I . . , , I , I . , , , , I . . I I . I I I , , , , , . , , I . I , , , , , . , , , , , . , , , , , . , , . , , I
<br />
<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 (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
|