Laserfiche WebLink
<br />I , <br /> <br />.J0-()()20 <br /> <br />City of Zephyrhills Pennlt Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />~2- <br /> <br />Y olo <br /> <br />Owner's Name <br /> <br />Owner's Address 5439 Bea:uroont Cntr B1 <br />Fee Simple ntlehol er Name I <br /> <br />Fee Simple Tltlehol r Add..... <br /> <br />JOB ADDRESS <br /> <br /> <br />I <br />E3 <br />D <br />~ <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />W <br /> <br />38 tx?-i <br />Silverado Vh <br /> <br /> <br />SUBDIVISION <br /> <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRU nON <br /> <br />BUILDING SIZE <br /> <br />Construct Single Family Residence <br />SQ FOOTAGE I ~ <br /> <br />D <br /> <br />I$c?;l~ M, 00 I <br />1$ I <br />1$ I <br /> <br />MECHANltL 1$ I <br /> <br />I <br />D GAS 0 ROOFING D <br />FINISHED FLOOR EL VATlONS 19'9 _ d..G I <br /> <br />BUILDING <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D OTHER I <br /> <br />(~I~ ~~('~) <br /> <br />HEIGHT I <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />..__m_ <br /> <br />ELECTRIC L <br /> <br />D <br /> <br />PLUMBING <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o \iJR.E.C <br /> <br />~c.. <br />~ <br />5 u...bS <br /> <br />~ \~\I~ID~ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Inlmum ten (10) working days after submittal date. Required onslt.. Construction Plans. Sanitary Facilities & 1 dumpster <br />Plttach (3) sets of Building Plana; (1) set of Energy Forms, <br />Minimum ten (10) working days after submittal date, Requlract onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />I commarclal reqUirements must meet compllanoe. <br />ch (2) sets of Engineered Plans. <br />. ....PROPERTY SURVEY required for all NEW construotlon. <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Addre.. <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNA TURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br /> <br />3634 <br />I <br /> <br />Hanes <br /> <br />FEE CURRENT Y N <br /> <br />License # I CBC1252865 <br /> <br />I <br />@ <br />I <br />~ <br /> <br />S & S Electric CO. <br />I@ N I FEE CURRENT <br /> <br />License # <br /> <br />P~l~~rl ofFE~~~~~~:n Y/N <br /> <br /> <br />License # <br /> <br />License # <br /> <br />--.J <br />I <br />I <br /> <br />Y / N FeE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Directions: <br />Fill out application completely. <br />Owner & Contra r sign back of application, notarized <br />If over $2500, a Ice of Commencement I. requlrad. (Ale upgrada. over $5000) <br /> <br />Agent (for the con ctor) or Power of Attomey (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 S rs Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not ov~r Counter If on public roadways..needs ROW <br />