Laserfiche WebLink
<br />I I <br />81 :3-780-0020 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />/ Owner's Name <br />/ Owner's Address I s q 'I L(q <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />/ JOB ADDRESS <br /> <br />Fee Simple TitlehoU:ler Address I <br /> <br />I )q4(~/q <br />I <br /> <br />t-'~6d~ <br /> <br />AVf <br />I <br />B <br />o <br />o <br /> <br />r:~/fr"(/~ FL 57 f:~2 <br /> <br />PARCEL ID#I \'2 - z.~. .;)1- O~~O- 00000- 0350 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />D NEW CONSTR <br />D INSTALL <br /> <br />PROPOSED USE D SFR <br /> <br />TYPE OF CONSTRl,lCTION D BLOCK <br /> <br /> <br />I DESCRIPTIONOFWORK I Cv-/Vt.W~~ <br /> <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT I <br />11111'llllllllllllll'IIIIIIIIIIII'III"'1111111111111111111111"'111111111111111"111111111111'111111111'11111'11'111111111'1'11111111111111'11111 <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br /> <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER <br /> <br />OTHER I <br /> <br />/ 1$ 1/50CJ I <br /> <br />, <br /> <br />o ELECTRIQ;AL 1$ I <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ I <br /> <br />o GAS D ROOFING 0 SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111I111111I1111111 j 1111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111I111111111111I1111111111111111111111111 <br /> <br />BUILDER E...' COMPANy,,1 #e~e~r I <br />/ SIGNATURE ~ a cf "1J &: ,.-,-,of"" ----fA ' REG"""'ED Y / N I FEE CURRENT Y I N <br /> <br />Address _ _ License # I I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />~~ I <br />REGISTERED Y / N FEE CURRENT Y / N <br /> <br />; I Uoenoo' I I <br /> <br />IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />'I 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 />i 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />I....PROPERTY SURVEY required for all NEW construction. <br /> <br />11111...1111.11111111.....11.............111..111.11...11...1111111.1111......11111111111111.1111...1111........................................... <br />Directions: <br />Fill out apPlica1i n completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />.. Agent (for the ntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNT1R P!=RMITTING (Front of Application Only) <br />Reroofs seiers Service Upgrades NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not ver Counter if on public roadwaysooneeds ROW <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Row ~d 4(" <br />.sa..,+ -\-0 Sro...n.e.- <br />'-1-f~lo1 <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 />OTHER <br />SIGNATURE <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br />