Laserfiche WebLink
<br />813-l80-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Fax-813-780-0021 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />-1~..-o1 <br />1\ <br />(0044 <br /> <br />Owner's Address <br /> <br />Fee Simple Titlehold r Namel <br /> <br /> <br />Fee Simple Titlehold r Address I <br /> <br />I ~O ~ 4- <br />I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRU TION <br /> <br />DESCRIPTION OF <br /> <br />BUILDING SIZE <br /> <br />D BUILDING <br /> <br />D <br /> <br />D <br /> <br />D <br /> <br />D GAS <br />FINISHED FLOOR <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />10Th sr- <br />I <br />~ <br />o <br />o <br />ShM <br /> <br />B <br />~ <br />I \d.X 134 <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PARCElID#1 D2--~ 2"-2-I-DO& -00 '00 _02-00 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />sa FOOTAGE I <br /> <br />*~'IyL\ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />LOT # <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br /> <br />1$ Y7(oL ~ <br />1$ <br />1$ <br />1$ <br /> <br />D ROOFING <br /> <br />I VALUATION OF TOTAL CONSTRUCTION <br />82 .S 6 <br />I AMP SERVICE <br /> <br />I <br />I <br />o <br />I <br /> <br />HEIGHT I <br /> <br />o <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />PROGRESS ENERGY <br /> <br />.-" <br />[JOG <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br /> <br />~ FEE~N~'~Y/N <br /> <br />License # <br /> <br />YI 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 />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />RESIDENTIAL 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 />COMMERCIAL 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 />SIGN PERMIT : Attach (2) sets of Engineered Plans. <br />, ....PROPERTY SURVEY required for all NEW construction. <br /> <br />Directions: <br />Fill out applica ion completely. <br />Owner & Cont actor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the on tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUN ER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-N t over Counter if on public roadways..needs ROW <br />