Laserfiche WebLink
<br />~~~5tf <br /> <br />813-780+0020 City of Zephyrhills Permit Application <br />(;).- \()..-07 Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />dtt C;O~JU> <br /> <br />Owner's Address I (;, J 3 ~ /-1 H Il/lJ ~ t S + I <br /> <br />Fee Simple Titleho der Namel fZo b ~11 t G (!) ~- Jt/ ~ <br /> <br />Fee Simple Titleho der Address I ~ 111-, If fl /l- n.- (J: f <br />I hI J .:l H Itl<-~ l ~-1 c i <br /> <br />I Pt' ~~~ fLlrs f' I <br /> <br />B <br />D <br />D <br />[) LPG 1-< <br /> <br />LOT # <br /> <br />1.?0- <br /> <br />Owner's Name <br /> <br />SUBDIVISION <br /> <br />PARCELlD#1 <br /> <br />WORK PROPOSE <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />D <br />D <br />~ <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />PROPOSED USE <br />TYPE OF CONSTR <br /> <br />DESCRIPTION OF <br /> <br />SQ FOOTAGE I !; (pCfJO / <br /> <br />HEIGHT I <br /> <br />D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br />MECHAN CAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />Address <br /> <br />~~:.~ I/f1ft'!] (?/ill!!l7fy I N <br /> <br /> <br />License # I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br /> <br />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 />ttach (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 />II commercial requirements must meet compliance. <br />ttach (2) sets of Engineered Plans. <br />...PROPERTY SURVEY required for all NEW construction. <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applicati completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a otice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />.., Agent (for the co tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTE PERMITTING (Front of Application Only) <br />Reroofs Service Upgrades NC Driveways Fences (Plot/Survey/Footage) <br />