|
<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Date Received
<br />
<br />
<br />;l/ltl lNe 2~
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Name
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Address
<br />
<br />1.)'#-17'7 e
<br />I
<br />
<br />LOT #
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I
<br />B
<br />D
<br />D
<br />
<br />PARCELID#III-..t.(,-':U-OtJIC- i9'ftJtJ-oll~
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />B
<br />o
<br />o
<br />
<br />ADD/ALT 0 SIGN D MOVE 0 DEMOliSH
<br />REPAIR
<br />COMM 0 OTHER I ?f~ir.4d(' Savll.t" ~/rlr.4ce -f" .2&t! 14
<br />FRAME 0 STEEL D OTHER I ".{/t!'w~",.J- ;'" / - 6 f:C :r s I
<br />
<br />DESCRIPTION OF WORK A-oru..a .AJ~d 2LJN C"/r,,Nt' T.A.lI.,A"d- GFt:f; /; klM,,,.: B/ff,{-,l/('w/)r lY.t'u fr'Mrt t.' ~tt
<br />BUILDING SIZE SQ FOOTAGE I HEIGHT I I K'ec~('j Fw II< c i-" ''1'"('''~'''
<br />111111111111'111'11111111111111111111111111""1111111111111111111111111111111""'111111111"111".11111111111111111111111111111111"111111111111
<br />
<br />D BUILDING
<br />[2f ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
<br />
<br />1$ I
<br />1$1/S9.Y~ I
<br />1$ I
<br />1$ I
<br />
<br />D GAS 0 ROOFING D SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />1111111111111111111111/111111111111111111111'11111111111111111111111111111111111111111111111111111111I111111111111111111111I11111111111111I1111111
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />;200
<br />
<br />~ PROGRESS ENERGY
<br />
<br />D
<br />
<br />WR.E.C,
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />
<br />/n./;)~
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />
<br />Address 39111 /f,11/~ .fd'
<br />
<br />~ /.. rA/f&.;:/ 33~~i'
<br />
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<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 />1111111I11111111111I11111111111I1111111I1111111I1111111111I1111111I111I1111111111111111111I1111111111111111111111111I11111111111111111111111111111
<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 w/ 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 />SIGN PERMIT
<br />
<br />Di~~~i;~~~': . . . . , , , . . , , , . . , , . . . , , . , , , , . . . , , , . . . , , , . , , , , . . . . , , . . . . . . . . , , , . . . , , , , , . . , , , . . , . , . . . . . , , , . . , . . , , , , , , , . . . . , , , , , , , . , . . , , , , , , , , , , , . . . . . . . , . . ,
<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 />
|