|
<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Date Received
<br />
<br />
<br />
<br /><l\' b51 V
<br />
<br />Owner's Name IV / t? S
<br />
<br />Owner's Address I p.. 0, 8" X II ~ S J
<br />,
<br />Fee Simple Titleholder Namel
<br />
<br />TII~fJt'4/ 4/.'JVjS i ,cL, I
<br />3~6Fi'f -'IrS'
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Fee Simple Titleholder Address
<br />
<br />JOB ADDRESS 156> 1/
<br />
<br />I
<br />
<br />B
<br />
<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D
<br />
<br />DESCRIPTION OF WORK I ~c>{)f 4- Iv'-re/J(~IL Jt/~LL)' 'oe.IIAGl
<br />
<br />BUILDING SIZE SQ FOOTAGE I HEIGHT I
<br />1111'llllllmllll'II"IIIIIIIII"lllllll'llllllllllllll111'1"'11111"1""'1111111111'11111'1111'111111"'11111111111111111'11111111'11111"'111
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />/ 2~t7~'1~h~/1; ,r{, 335"r'2 LOT #
<br />
<br />I PARCEL ID#I, 0 - zt -2/ - eM /0 - at, '106 - Clt:} / d
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />EJ ADD/AL T D SIGN D MOVE ~ DEMOLISH
<br />REPAIR
<br />D COMM D
<br />D FRAME D
<br />
<br />1ST, s-m-ee.7
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />OTHER I
<br />STEEL D
<br />
<br />OTHER I
<br />
<br />1
<br />1$ I
<br />1$ I
<br />1$ I
<br />
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNO
<br />
<br />111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111I11111111111I11111111111111111111111111111111111111
<br />
<br />1$ . ct-
<br />~OOO/-
<br />
<br />D BUILDING
<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />,,A./tfC ~
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />
<br />~
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />
<br />J",v c '
<br />FEE CURRENT Y / N
<br />
<br />License # I c...d Co / 9;' 7 l/
<br />
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />~ I~/ ~;:/. 3 '6"6
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />
<br />Y/N
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />111111111111111
<br />RESIDENTIAL
<br />
<br />1111I1111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111I1I111111111111111111111
<br />Attach (2) Plot Plans; (2) 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 onsile, Construction Plans, Stormwaler Plans w/ Sill 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 />DI~~~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 NC Fences (PloUSurvey/Footage)
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
|