Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />III1IIIIIII <br /> <br />Owner's Name If ee...la..Ae... l \(':) <br />Owner's Address I \ O'l \~ 6\...:. ~ ~ t- . N . ItMfouiTV(Cl.:,.l..+L I <br />Fee Simple, Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple, Titleholder Address I <br />15-15 Q V W'\ ~\<-. S\-. <br /> <br />iT r~ LQJ"\L Mob~\{t <br /> <br />SUBDIVISION <br /> <br />~h\.'Vh,\\~, ~ ~~~~_ <br /> <br />PARCEUD# I rD- d. ..... d....' . ()~~D' D'{) I 00 . 0.":)0:) <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />LOT # <br /> <br />I <br /> <br />D NEW CONSTR D ADD/AL T D <br />D INSTALL ~ REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D <br /> <br />DESCRIPTION OF WORK ~ no.n 'Y'- ~,,-t ~ 9""-, L"\<.or C ,<1\ :;. oth H S;U-< \U... <br /> <br />BUILDING SIZE I SQ FOOTAGE L I HEIGHT I <br />1111111""1'11'111111'1'11'111'1"11111'1111111111111I'" ""'11111"""11"'11"1'1"1'11""1"111'111111111111'1"11'1"11111'1"'1111111111 <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />I <br />I <br /> <br />ne.Lt..~~ <br /> <br />~J=:J <br /> <br />fA~ <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />0 BUILDING <br />CiJ ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />OCJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />loc> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />I License # <br /> <br />COMPANY 1R"~ Be2.cX)\ <:.qj <br />REGISTERED I' 'j ~m N I FEE CURRENT <br /> <br />License # I <br /> <br />Address <br /> <br />ELECTRICIANR~ I ~ <br />SIGNATURE \ll <br /> <br /> <br />~<-. <br />DIN I <br />( 4lf'f' <br /> <br />Address <br /> <br />'D Bb~ <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />11111111111111' <br />RESIDENTIAL <br /> <br />License # <br />111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111 <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, Storm water Plans wI Sill 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 wI 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />."..."...111,...".......".,111111,.....'.,...,1.,111111111111..,11,.......,1..1,...,11,.............,1111"'."'111111111111111111111111111111 <br />Directions: . <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (A1C 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 (PloIISurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />