07-6890 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name Date Received . "l-~(,;;-C.7 Owner's Address Fee Simple Titleholder Namel Cfi Ii N CC-il 1<0/1 b Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address LOT # ]' 5- ~ 404 i7 CHrAN CL~ fin I PARCEL ID# I i<3, 'ZL? ..22 - OOlD - 0'-31..\-00. OGO b (OBTAINED FROM PROPERTY TAX NOTICE) o NEW CONSTR c=J ADD/ALT D SIGN D MOVE D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D DESCRIPTION OF WORK I ~t?O/( ASuilcJ ouT ~ UI'l.~'J. /() 2- -IC/O 6 L....v(J a BUILDING SIZE I SQ FOOTAGE I ro J Y 5 ~ I HEIGHT I "II' I' I" I'."" II., 1111111111111111111111111111111".. "II1IIIII r I (" I'" 11111' 1.'.1111111111 t 111111111" 111'1111'.. "11111111111111" III"'.' IIII 1$ I 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111 J;f11#~r'5S (bu-r7 Zvc I I YI N FEE CURRENT I Y/N I License # I C/X:./2S' 2/c<::j I fvftA~~E14=i,;;~~~ I License # ~C-OcJt)A';-;>-cJ I I ~f!: 110 F~lf [11AJ License # ILf Co? to 71r<o I I I I I JOB ADDRESS Ifjl I SUBDIVISION WORK PROPOSED D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL DEMOLISH OTHER I STEEL D OTHER I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY D D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111I111I111111111111111111111I111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. BUILDER SIGNATURE I ~/?(&Cd?~ rl COMPANY REGISTERED Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE COMPANY REGISTERED COMPANY REGISTERED COMMERCIAL SIGN PERMIT Y/N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT DI~~~ii~~~': I I . . . . . I I . . . I . . . . I . , . I I I . . . I . I . . . I I I I I . . I , , . . I . . . . I . . . . . . I . . . . . , , , . . . I . I . . . . I I I . . , , , . . . . , , I I I I I . . . . . . , , . I I . . . . . I I , , , , I , , , I I I . I I . I I I I I I I Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500. a Notice of Commencement is required. CAlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on pu~OadWays..needs ROW 'f"