07-6495 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit ApplicatiOn Building Department I I Fee Simple Titleholder Address I 5ti~ . ! I !P~~ ~St) f7tJb) fL 33~ I LOT' 1 w 1 11117 _ ~ . -- P - PARCELlD.1 (),-5../;2/,- .2f-()~O--eJoot'Y5-O(ffo 1 Ef (OBTAINED FROM PROPERTY TAX NOTICE) NEW CONSTR D ADD/ALl D SIGN D MOVE D DEMOLISH INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER TYPE OF CONSTRUCTION D BLOCK I:t:J FRAME D STEEL rn DESCRIPTIONOFWORK I ~4'eUJ ~":i ~~ ~~;- BUILDING SIZE I /1 X:<' '-f ISQ FOOTAGE P HEIGHT 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 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 r I I I C$ BUILDING 1$ J...JfttJ ~ ;tl ~LUATIONOFTOTALCONSTRUCTION / r;o ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY ~ W.R.E.C, D PLUMBING 1$ I lY'~p - 01>r<"'''~l.4-v ~ D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS 0 ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES Dale Receiv'ad Owner's Name Owner's Address Fee Simple Titleholder Name Owner Phone Number wner Phone Number I Owner Phone Number I JOB ADDRESS SUBDIVISION WORK PROPOSED OTHER I ()!.tun fiONO 11111.""111".1""1'1",1'11,1""'111,,,,,,'1'11"."1".1"'111'.....'1"..".",,1'1.1'1,,""'1'11'.1il,.I,II.",II"'II".'IIIIII'..IIII" 1111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllllll1111111111111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsionsllarge projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 111111111111111 J 11111111111 J 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application. notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC BUILDER SIGNATURE '~<-..&' e-e:~-~ro1'''')1 COMPANY REGISTERED Address ELECTRICIAN SIGNATURE ~<~. cc;;~~,..- ~<).$'"I COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Lq~'f{'I- 'le~NT COin y~1 License # I I r)/~Jf)ffJ :Iu.d; ~ Y}~rS ~ Y I N I FEE CURRENT I Y I N I License # I Y I N FEE CURRENT License # Y I N FEE CURRENT License # YI N FEE CURRENT License # Y/N Y/N Y/N Driveways-Not over Counter if on public roadways..needs ROW Fences (Plot/Survey/Footage)