Laserfiche WebLink
<br />813-78Q..OO20 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-78Q..OO21 <br /> <br />6[~ <br /> <br />Date Received <br /> <br /> <br />6u \ \ '"R\ud. <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />I <br />I <br /> <br /> <br />Fee Simple Trtleholder Address I I <br /> <br />i19lli1 'D~\(ql\<~'~~'~ ,t'~ I "'" I I <br /> <br />. PARCELlllIJ 69.~ - ,~OO () . O~6D - exx>d <br />(OBTAINED F_ PROPERTY TAX NOTlCEI <br />NEWCONSTR E3 ADD/ALT 0 SIGN 0 MOVE D ~ <br />INSTALL REPAIR <br />SFR D COMM 0 OTHER <br />BLOCK D FRAME D STEEL 0 <br /> <br />c\) ~ e -Ie ' i)e~ \ ,-\- ..~" <br /> <br />I SQ FOOTAGE I I HEIGHT I <br /> <br />23 C5b ~A:J I <br />I <br />I <br />I <br />D <br />I <br /> <br />Owner's Name <br /> <br />Owner's Address Uo -, \.1 9- <br />Fee Simple TItleholder Name I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />E3 <br />o <br />o <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />-- ']> {2'lo"" tJir.. c- . <br />I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />CJ <br />CJ <br />CJ <br />CJ <br />CJ <br /> <br />BUILDING <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />..2 3C>O .~ <br /> <br />ELECTRiCAl <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANiCAl INSTALLATION <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIAL TV 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />DYES <br /> <br />DNO <br /> <br />COMPANY <br />REGISTl:REO <br /> <br />~::= I ~ZS? f~~~~ SJ;>~dJ~ <br />~ License. ("{.,.C{)tQ.a, tf eo <br />tq~~ ~I\FErj~yC~l~ ~(V~ <br />License. I I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />L..:!ilLJ <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNA lURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNA lURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />License" <br /> <br />MECHANICAL <br />SIGNA lURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />L..:!ilLJ <br /> <br />Address <br /> <br />License . <br /> <br />OTHER <br />SIGNA lURE <br /> <br />COMPANY <br />REGISlERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />L..:!ilLJ <br /> <br />Address <br /> <br />License . <br /> <br />RESIDENTIAL <br /> <br />AItach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) worklng days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />AItach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) worklng days after submiUal date. Required onsile. Construction Plans, Sanitary Facilities & 1 dUmpster <br />All commercial requirements must meet compliance. <br />AItach (2) sets of Engineered Plans. <br />-PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign bad< of application. notal1zed <br />If over $2100, a NotIce of Commencement Is required. lAIC upgrades over $5000) <br />Agent (for the contracIor) or Power of AlIomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITnNG (Front of Application Only) <br />Reroofs s-.. Service Upgrades AlC Fences (PfotlSurveyIFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />