Laserfiche WebLink
<br />, . <br />Date ~eceived <br /> <br /> <br />GN~ <br />B R.. 0,41) fYl 0 /2..e <br /> <br /> <br />Fax-813-780-0021 <br /> <br />~~16 <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />- OWner's Name 0 I'e. N A <br /> <br />Owner's Address I 5 7 1../ 7 <br /> <br />Fee Simple Titleholder Namel <br /> <br />s, <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 />~ <br /> <br />LOT # <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />5' 3" {).3 /3tZ6J4 D/l1DR.2 Sr <br /> <br />\l.~ r:; t..lLwL L T () I PARCELlD# \I 0 ....1{y 21 ~ 000 0 ... 001 0 0 - 00 00 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~ ADD/All c=J SIGN D MOVE c=J <br />D REPAIR <br />D COMM c=J <br />D FRAME c=J <br /> <br />_JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />c=J <br />c=J <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />DESCRIPTION OF WORK B u {LD T (,0 C) LJ r+ c:- 4..) I r H boo <br />BUILDING SIZE I I SQ FOOTAGE I J 0 \( ~ ~ ~ 0 sIp- I HEIGHT I "7 r- r . <br />1111"11"11'1'1,'-"111111"11111'"1'111111""11'111111'1IIIIt'II'II'III"111111,11111"11111'11'111"'I"IIIII"111"IIPII"I'IIII,III,II,rIIIIIII11111' <br /> <br /> <br />OTHER I <br /> <br />~D <br /> <br />1$ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />c=J GAS c=J <br />FINISHED FLOOR ELEVATIONS I <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 /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />560.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY c=J OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br /> <br /> <br /> <br />~ BUILDER <br />,. SIGNATURE <br /> <br />~~~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />~e ow (\e-~ <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br /> <br />1111111111111111111111111111111I11111I1I1I111111111I11111111111111111111111111111111111II11111111111I11111111I11I11111111111111111 <br /> <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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 w/ 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />.,....11.1111......11.....1111..............111..11...............111.11.....11.....11.1111...111...........~I....IIII...I....I.II.I.I.II.I.II.I. <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />