|
<br />813-780-0020
<br />
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Date Received
<br />
<br />Owner's Name
<br />
<br />Fee Simple Titleholder Name
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Address I [) cr by:; / f rf!
<br />JOB ADDRESS I 3ry'-l~O LOT #
<br /> I
<br />SUBDIVISION l?v~# ?/.J;,d I PARCELlD#1
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br />WORK PROPOSED E3 NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH
<br /> INSTALL REPAIR
<br />PROPOSED USE D SFR D COMM D OTHER OTHER I R.c.~~o f
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL
<br />
<br />DESCRIPTION OF WORK
<br />BUILDING SIZE sa FOOTAGE
<br />D BUILDING 1$ I
<br />D ELECTRICAL 1$ I
<br />D PLUMBING 1$ I
<br />D MECHANICAL 1$ I
<br />D GAS b ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I
<br />
<br />
<br />HEIGHT I
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W,R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
<br />
<br />DNO
<br />
<br />COMPANY V
<br />REGISTEREa
<br />
<br />
<br />
<br />COMPANY I
<br />REGISTERED
<br />
<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 />BUILDER
<br />SIGNATURE
<br />
<br /> License #
<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 />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 />111111111111111111111111111111111111111I11111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 on site, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsionsllarge 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~~~ti~~~':' . . . . , , , . . . , , . , . . . , , , . . , I , . . , , . . . , , , , . . . , , . . , , . . . , , . . , , , . . , . , , . . . . , , , . . , , . . . , , . . . . , , . . . . . , , , . . , . . . . , , , , 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 roadwaysooneeds ROW
<br />
|