Laserfiche WebLink
<br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~l L.\ 2-") <br />151 \...v- ()~~ <br /> <br />o <br /> <br />o <br />o <br /> <br />O,^-\~~U,f ~~ Spr'v--h\v j'{.)~ <br /> <br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I <br />11'111.lllfT""""'.I.I'.'IIII.II)....""'...I)..""rr"'.".I""IIIIIIIIIIIII"III"'II",I"111111111111111111111111111111'1"1111111111111 <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo <br /> <br />111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111I11111111 <br />I <br />I <br />I <br />I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />D BUILDING <br />D ELECTRICAL <br />~ :r;.. . <br />:~ <br />D MECHANICAL <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~,~ ~(.A-\J <br />v., \o..~ I <br />E3 <br />D <br />D <br /> <br />f1 \.It <br /> <br /> <br />PARCELlD#lo) - ~b .. l..l - t> 'l..UJ - OD D Q'O ~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />(V\,\\ <br /> <br />\0 <br /> <br />LOT # <br /> <br />0\00 <br /> <br />@ <br />o <br />o <br />I A",-\,"~~ \,'\.. <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />i).,L\ "0. Cl'J <br />) <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />::t:'':'~~E r?~ ~- <br /> <br /> <br />Address I License # I <br /> <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I <br /> <br /> <br />OTHER I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I I License # I I <br /> <br />111I111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111II111111111111I111111I1111I1111 <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 />11I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111 <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 <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />License # <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />