Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address I i={), ~f0'JC <br /> <br />Fee Simple Titleholder Name I <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />Date Received <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />lO-c <br /> <br />t..~~lkP 335311 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />1~1-<- ~ b.,ph!:!f'hi I~ La, "'~CJ... ~ LOT' I <br />I PARCELlD# l1J~lo 'vU' 0010 -():;,tJ CO-~O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />CJ NEW CONSTR f'71 ADD/AL T D SIGN D MOVE D <br />D INSTALL D REPAIR <br /> <br />D SFR 0' COMM D <br /> <br />D BLOCK D FRAME D <br /> <br />I ~h;~r /Jr-ow or rlUplW <br /> <br />_ SQ FOOTAGE I <br /> <br />~91P.3 <br /> <br />1$ cJ.~q7 .60 <br />1$ <br />1$ <br />1$ <br />~ ROOFING <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />~ <br /> <br />BUILDING <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />DEMOLISH <br /> <br />OTHER I 'Rt.-~OCJF <br />STEEL D OTHER I <br /> <br />I 7 ;'Y' <br />HEIGHT <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br /> <br />w.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />SPECIAL TV 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />- <br /> <br />RESIDENTIAL <br /> <br />DNO <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 />Attach (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 />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />****PROPERTY SURVEY required for all NEW construction, <br /> <br />~~~~ ~~~E~TCAl4'0J?f <br />License # I C('C- 05/ 5 U ~ <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (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 Sewers Service Upgrades NC <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />