|
<br />'I I
<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Owner's Name L V ~("11t'.s
<br />Owner's Address I ? Z D 39 5~
<br />Fee Simple Titlehotkler Namel
<br />
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />
<br />L\- Uf
<br />
<br />A.J-e
<br />
<br />Fee Simple TitlehO~der Address I
<br />
<br />JOB ADDRESS I I 3 '(o3?
<br />I
<br />SUBDIVISION i
<br />
<br />WORK PROPOSE~
<br />
<br />I
<br />
<br />fff"
<br />
<br />Ave
<br />
<br />LOT #
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTR
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I
<br />B
<br />D
<br />D
<br />
<br />PARCEL ID# I i J -l-f&, -- 2-/ - CD/ () - /)" OQ - ~bCJ
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
<br />
<br />DESCRIPTION OF
<br />
<br />
<br />B
<br />o
<br />o
<br />1,Rt:
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />o
<br />o
<br />o
<br />
<br />DEMOLISH
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />BUILDING SIZE
<br />
<br />R.oof
<br />
<br />I SQ FOOTAGE I
<br />
<br />HEIGHT I
<br />
<br />ROOFING
<br />
<br />~ If ~ALUATION OF TOTAL CONSTRUCTION
<br />I AMP SERVICE D PROGRESS ENERGY
<br />
<br />I
<br />I
<br />D
<br />I
<br />
<br />o
<br />
<br />W.R.E,C,
<br />
<br />-.... D BUILDIN
<br />D ELECTRt
<br />D PLUMBI G
<br />D MECHA~ICAL
<br />
<br />1$ / bPI)
<br />
<br />1$
<br />
<br />1$
<br />
<br />1$
<br />
<br />DGAS 0
<br />FINISHED FLOOR ~LEVATIONS I
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />SPECIALTY 0
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />
<br />DYES
<br />
<br />DNO
<br />
<br />BUILDER COMPANY -I &W.u~~
<br />- SIGNATURE REGISTERED I Y/N I FEE CURRENT
<br />Address License #
<br />ELECTRICIAN
<br />SIGNATURE Y / N FEE CURRENT
<br />Address License #
<br />PLUMBER
<br />SIGNATURE Y/N FEE CURRENT
<br />Address License #
<br />MECHANICAL
<br />SIGNATURE Y / N FEE CURRENT
<br />Address License #
<br />OTHER
<br />SIGNATURE Y / N FEE CURRENT
<br />Address License #
<br />
<br />
<br />
<br />Y/N
<br />
<br />
<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 onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
<br />COMMERCIAL I 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 />I ....PROPERTY SURVEY required for all NEW construction.
<br />
<br />, , . . . . . , . . . . , . . , . , ~I' . , , , . , , . . , , , . . , . , . . , , , . . . . , , . . . . . . . . , . . , , , . . , . , . . , . . . . . . . , , , . . , , . . . , , , . . , , , . . , . , . . . . . , . . , , , , . . . . . . . , , , . . . . . . , . , , , , . . . , . , , , , . , ,
<br />Directions:
<br />Fill oul apPllca~on completely.
<br />Owner & CQnt ctor sign back of application, notarized
<br />If over $2500, Notice of Commencement is required. (A/C upgrades over $5000)
<br />
<br />.. Agent (for the ontr'actor) or Power of Attomey (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 (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
|