|
<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-002t
<br />
<br />~ 'fIt,
<br />
<br />/"
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />I f. J-fl
<br />FJ 13 - ZSCJ -1~) 70 tl{tY
<br />I
<br />
<br />:
<br />I
<br />
<br />LOT # I 3 ()
<br />JJ t:.;
<br />
<br /><
<br />DatI! Received
<br />
<br />,/ Owner's Name
<br />
<br />./
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />I(QOs-S- IDt! ~f .
<br />
<br />1'0 sol) 5a?Jc/'"/)'i5if)j)
<br />
<br />E3
<br />D
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
<br />
<br />;~;~~~;;;;~~~ L~:, ),~~"" .f.;;~~~t'~,~., ~!~~~~~t. ~~., .~~l.~~~: ~. ""'" .,
<br />
<br />~ BUILDING / 1$ J.9ffJ t q t-l
<br />o ELECTRICAL 1$
<br />o PLUMBING 1$
<br />o MECHANICAL 1$
<br />o GAS D
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />/ JOB ADDRESS
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />
<br />I
<br />B
<br />D
<br />
<br />I~;J-l -.. /~ll 2{J;' S. ~
<br />PARCEL 10# ,)C..... ftWl1 ? ,j
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />D
<br />D
<br />
<br />DEMOLISH
<br />
<br />SUBDIVISION
<br />
<br />PROPOSED USE
<br />
<br />ADD/AL T
<br />REPAIR
<br />COMM
<br />
<br />OTHER
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />e
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />w'R.E.C,
<br />
<br />@
<br />
<br />.eJ
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />-el
<br />
<br />D
<br />I
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />
<br />ROOFING
<br />
<br />DYES
<br />
<br />DNO
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />
<br />COMPANY 1
<br />REGISTERED
<br />
<br />!t:H ~~~
<br />
<br />
<br />License # I
<br />
<br />Y/N
<br />
<br />/
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/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 />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<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 />Address I License #
<br />111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111
<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 subdivisions/large projects
<br />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 />Attach (2) sets of Engineered Plans.
<br />""PROPERTY SURVEY required for all NEW construction.
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Di~~~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 AlC Fences (PloVSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
|