07-7151 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received 1'1~1f,c1 b~;J..J c.q~~. > r e. .-)J./fs I Owner Phone Number Owner Phone Number I Owner Phone Number I 15'/3,?&J-I,6 C;/ 6/ 7, 'Ie.; ff-6i?? Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I t:, :;. 2.1 c..G\ rl ~ 0 - $/ z -II. /I.s JOB ADDRESS LOT # I D NEW CONSTR D ADO/ALT D D ~TALL D REPAIR PROPOSED USE ~ SFR : ~MM D OTHER TYPE OF CONSTRUCTION D BLOCK FRAME D STEEL D OTHER I ~ hi' J ~c.."C- O/~ MalNI~ .s~rl/, /ScJ a.,.., I I I L"a..cL c..,e;'L'~1 BUILDING SIZE sa FOOTAGE HEIGHT R.'!"'C..f'" ;Cc.r:.W.!5 1111011111111111111111111111. 11111111111'1111111111111111' ;1111111111111111111111 0 11111111111111"0 '111111111111' 11111" IIIII~~~I~' I~~ D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION - _ ~ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D WR.E.C / / StJ,6/J . D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 I I I I I I I I I I PARCEL ID#I SUBDIVISION WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH DESCRIPTION OF WORK VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # Address oS fa.n -c. C rC. VT:./(6 ~N I J3~b> License# FEE CURRENT Ec..c../ (1YN I E C.-6~e:2 ~9.3 ELECTRICIAN SIGNATURE PLUMBER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL License # 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111I1111111I1111111111111111111I11111 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 wI 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. COMMERCIAL SIGN PERMIT iil~~~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 ~ . . . . 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. (A1C 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 A1C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW