|
<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 (~
<br />
<br />Owner's Address I ~o 3 I
<br />Fee Simple Titleholder Namel
<br />
<br />
<br />13 (/ 'Etf!-i6"'- d
<br />tbT/I S" /
<br />
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />ls03 /
<br />I
<br />
<br />I
<br />
<br />~ NEWCONSTR r=:J ADD/ALT D
<br />D INSTALL D REPAIR
<br />PROPOSED USE D SFR D COMM D OTHER I FE" jV f3 ~
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
<br />
<br />DESCRIPTION OF WORK I h I C'/-/ A r ~ L ( '" Ie. r & ~ c e'" - /:3 t2 rr-
<br />
<br />BUILDING SIZE I I SQ FOOTAGE I J 32 I I HEIGHT 16 ( I
<br />11111'1'1'111"1111111111'1"'111'11"111'111111111111I"I"IIIIII~II~'II"III'IIIIIIIIIIIIIIII'IIIIIIIIIII'11111111111""1'111""'11111'1111'1
<br />~ BUILDING 1$ /800.00 I
<br />
<br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS;~~~Y
<br />
<br />D PLUMBING 1$ I ( -file 1 h f
<br />
<br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATI
<br />
<br />=---
<br />
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />11111I111111I1I111111I111II11I1111I111111111III11I11I111111111111I11I1I111I1I1I1I1IIIIII1III11III111I1III11II11I1III11111III1II11111I11I11I11II1II
<br />
<br />:::l~~RE ~ I-J-L ~:'o=~ ..:-:::
<br />
<br />
<br />Address ~_ License #
<br />
<br />ELECTRICIAN I COMPANY
<br />SIGNATURE REGISTERED Y I N FEE CURRENT
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />c:: 7/7'
<br />
<br />yr
<br />
<br />LOT #
<br />
<br />JOB ADDRESS
<br />
<br />SUBDIVISION
<br />
<br />PARCEL 10#1
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />MOVE D
<br />
<br />SIGN
<br />
<br />D
<br />
<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />D
<br />
<br />W.R.E.C,
<br />
<br />
<br />
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Dl~~~ii~~~': . . , , . . . , , , . . , . . , , . . , , , . . , , , . . , . , , . . . , , . , , . , . . . , . . . , , . . , , , . . , , , . , , . . , , . . . , , , . . , , , . . , , , . . , , , . . , . . , . . , , , , , , , . , . . , , , . , . . , . . , , . . , , , , . , , , , , . .
<br />
<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If over $2500, a Notice of Commencement Is required. (AlC 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 Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
|