|
<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application Fax-813~780-0021
<br />Building Department J?/t.[(!D l'-er~1 \..!e ly/teL
<br />
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />
<br />tv
<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 />I .s ~ /J.-€ i.( ri...j() due.
<br />
<br />IOd tlYJ"r /::-t"H. ~A II
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />LOT # I JQ
<br />
<br />PARCELlD#1 oo1-oM -01-1- oOlJO - ()()Q)j - ()/7tJ
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />~
<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D
<br />
<br />0C-t-e4\
<br />
<br />1'I7')l/fjl I
<br />
<br />B
<br />D
<br />D
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />D
<br />D
<br />D
<br />5~
<br />
<br />DEMOLISH
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />aAun
<br />
<br />DESCRIPTION OF WORK
<br />
<br />A,rY\
<br />
<br />6Y\
<br />
<br />
<br />HEIGHT
<br />
<br />BUILDING SIZE
<br />
<br />SQ FOOTAGE
<br />
<br />11111111'1"1111111111111.1111111111111'111111111'1111111'111111111111'1111111111'1111111111"11111"111111'11'11111'1111'111111111111111111111111
<br />
<br />C1l
<br />
<br />1$ r: OOrJ. (JJ I
<br />
<br />D ELECTRICAL 1$ I
<br />
<br />D PLUMBING 1$ I
<br />
<br />D MECHANICAL 1$ I
<br />
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />1111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111I11111111I1111I11111111111111111111111
<br />
<br />I r/3ti/;/' (f 4!cun. ..D ~ .
<br />I Y / N I FEE CURRENT I Y / N
<br />
<br />License # I
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />ctJ
<br />
<br />PROGRESS ENERGY
<br />
<br />o
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />~[)tt
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<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 />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />License #
<br />11111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111I11111111111111I1111
<br />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 />Di~~~ti~~~':' . , , , , . , , . . , , , , . . , , , , . , , , . . , , , , . , . , . . , . . , , . . , , . . , , , . . . . , . , . , , , , . . . . , , . , , , , , , . , , , . . , , , , , . , , , , , , , , , . , , , . , , , . . . . . , , , , , , , . , . . , . , , . , , , . . . . , .
<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 />Address
<br />111111111111111
<br />RESIDENTIAL
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
|