Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />/' owner's Name <br /> <br /> <br />Date Received <br /> <br />phone Contact for Permittin <br />Owner phone Number ~ J 3 - ") 7 0; - Z z. 6 ;Y <br /> <br />own" Phone Numhe, ~ <br /> <br />Owner Phone Number <br /> <br /> <br />LOT # <br /> <br />J <br />j <br /> <br />OCX:D ] <br /> <br />1 <br /> <br />Fee s'mplelll'eho''''' Add.... [ _ <br /> <br />JOB ADDRESS ~ -w.. ~"""'~ s<1.::sLl~t, S~" I <br /> <br />[ J PARCEL 10#[ \ \ - <br /> <br />8 NEW CONSTR 8 ADD/All 0 <br />INSTALL REPAIR <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER [ <br /> <br /> <br />.- ;;;;;'~:'I~ '" ,l,~", .l~~~ ~;~;;,~ ~~:,~ ~~.".,' "),,.., ~,~~~~~,!.. ",.".,..,..,."., ,I".", ". .,.". .,.". ,~ <br /> <br />o BUILDING "r, '8 00 ~ 1 VALUATION OF TOTAL CONSTRUCTION <br />o ELEC1RICAL [$ I AMP SERVICE 0 PROGRESS ENERGV <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL f$ 1 <br /> <br />o GAS 0 ROOFING 0 <br />FINISHED FLOOR ELEVATIONS 1 ] <br />111I11111111111111111111111111111111111111111111111111111111111 : 1111111111111111111111111111111111111111111111I111111111I1111111111I11I11111111111 ~ <br />BUILDER L ~IV\ <? D L" \ f'J?\I.i.. I <br />SIGNATURE --.:i / N I FEE CURRENT Y / N <br />License # I I <br />] <br />I <br />~ <br />~ <br />~ <br /> <br />SUBDIVISION <br /> <br />;;;2..1..0 -;2.\ - 00\0 * O~OO- <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />j <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br />ELECTRICIAN \ <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br /> <br /> <br />1 COMPANY L <br />REGISTERED Y/N FEE CURRENT <br /> License # [ <br /> COMPANY l <br /> REGISTERED Y/ N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL \ <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER \ <br />SIGNATURE <br /> <br />Address I I License # <br /> <br />1111111111111I111111111111111111111111111111111111I11111111,111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br /> COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> License # <br />\ COMPANY l <br />REGISTERED Y/N FEE CURRENT Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />