Laserfiche WebLink
<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />l"3q51~ QL< (Uf~ <br />ICmPfcJc\ PO\{)+ <br /> <br />Dy. <br />I <br /> <br />D NEW CONSTR r=J ADD/ALT <br />~ INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM <br />TYPE OF CONSTRUCTION D BLOCK D FRAME <br /> <br />DESCRIPTION OF WORK ~ Set iiflP <br /> <br />BUILDING SIZE 1'2> x. 3 ~ ISQ FOOTAGE I 4 HEIGHT I <br /> <br />11...'....1111........11..111.111.111.....11111111....11...........11.11111........111...111..........................111.111..................... <br /> <br />D BUILDING 1$ 15,()OO, e C <br /> <br />D ELECTRICAL 1$ 75D. 00 <br /> <br />D PLUMBING 1$ 2- ro. () \) <br /> <br />D MECHANICAL 1$ LaDO.O() <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />SUBDIVISION <br /> <br />I LOTi I <br />PARCEL 10#1 24' 2~' 2/ -OO~ 0 --ctfXfj -I toS 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D DEMOLISH <br /> <br />D OTHER 1i'V)N.>11 e. pt'w l f'Vl () tU/ I <br />D STEEL D OTHER I <br /> <br />WORK PROPOSED <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br />/ +S~ <br />n IV \'0 <br />~V 'f~ <br />( <br /> <br />W.R.E.C, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />'...1111111"'1.......'1'1""11111"'1"1."1"11111..111"'111'1111"""111'1...'1"..'11"'...11...'11'111111..",11."".,'....'1""'...'111 <br /> <br />COMPANY <br />REGISTERED <br /> <br />~J i~J~flac (Vll-lj <br />Y / N FE CURRENT <br /> <br />I <br /> <br />BUILDER ~~ <br />SIGNATURE T <br />Add.... - - -;- -- -- 7 n:;., :..:..- <br /> <br />:~~~~~~~---::-, <br /> <br />Address _ ~ <br /> <br />:~~:::. ~~ <br /> <br />:,~~~~~:~ <br /> <br /> <br />Address _ _ <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br />1I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FOnTIs; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W PenTIlt 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 PenTIlt 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111 <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 Ale Fences (PloVSurvey/Footage) <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br /> <br />~ I FEE CURRENT <br /> <br />License # I <br /> <br />rn J -tk(J, e J ~' )I} I-J \ <br />~ Y / N FEE &:i1iRENT IY / N <br />License # I <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY ~h~~ <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />