07-7161 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I \\- \-c Owner's Name ..s~;z/ T ep.s7 -,,;?/t/L. Owner's Address I 73//4 &-/?-// 6/#"0 Fee Simple Titleholder Namel SUBDIVISION 0010 (3 7.::l00 I I I I o~OO JOB ADDRESS Fee Simple Titleholder Address 1~,'"\\J!2."-i~ 17344 (;-/?-// I ;() /1/0 LOT # WORK PROPOSED I e D D DESCRIPTION OF WORK 112~ / flC< /7 /c::::- c/ ,/-/~':::--.,;z" V' Pf./ /-1 BUILDING SIZE SO FOOTAGE I HEIGHT 1111111111111.11'1.,111.11111111111.1111.1111111111111111"111111111'1'11111111'11'1111111111"1111111111111IIIIIIII"P"IIIIIIIIIII"'IIIIIIIIIII PARCEL ID#k3S 2. S .2 I PROPOSED USE TYPE OF CONSTRUCTION B D D ADD/AL T REPAIR COMM FRAME (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH NEW CONSTR INSTALL SFR BLOCK D D D OTHER I STEEL D OTHER I 1"3 - 5ee-J2- 1$ I o ELECTRICAL 1$ I o PLUMBING 1$ I o MECHANICAL 1$ / If SO e,C I o GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIII111111I1111111I11111111111111111111111II1111111111111111I11111111111111111111111111I11I1I11 o BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address COMMERCIAL MECHANICAL I / A. -- SIGNATURE ~ ~~ Address 10 71 ~J9 -r'~ Bv-(' OTHER I SIGNATURE Address I License # 1III111111111111111111111I111111111111111111111111111111111I111I11111111111I111111111111111I11111I1111111111I1II1I11111I1111111111111111111111111I RESIDENTIAL 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 w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 w/ 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. COMPANY REGISTERED COMPANY REGISTERED Y I N FEE CURRENT Y/N SIGN PERMIT Di~~~ti~~~': . . . 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. (AlC 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 AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW