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 />~ (2. /0 <br /> <br /> <br />l <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number [ <br /> <br />Owner Phone Number i <br /> <br />/ Owner's Name ,4 N N IE' m/},e.., ~ I3A-R fC- <br /> <br /> <br />/ Owner's Address III '-I'd- Ap{JL-~ (;ltrF 'DR. <br /> <br /> <br />Fee Simple Titleholder Namel 5>An. {; <br /> <br /> <br />Fee Simple TllIeholde. Add.... I S_,: <br /> <br />/' JOB ADDRESS <br /> <br /> <br />j)pPLEG',4lt bR <br />IkPlffl V jJ.-J.,..AG,;- <br /> <br />ZCP# ,eIfILU; ;;:L 33S'-lO LOT # <br />PARCELlD#13tS25Z\ - DOSO. [){XX:O-. 6\~D <br /> <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />o <br />o <br /> <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />ADD/ALl 0 SIGN 0 MOVE 0 DEMOLISH <br />REPAIR <br />COMM [2] OTHER I F8U U 1/)6 <br />FRAME 0 STEEL 0 OTHER l <br /> <br />SUBDIVISION <br /> <br />8 <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />I .;15 r::T () ~ WCO~ ~ttJL/lUC. t...,' <br />/' DESCRIPTION OF WORK , !..J ~ <br /> <br />BUILDING SIZE SQ FGOT~GE I 015 I I HEIGHT I I <br />TII'!!IIII'.II'I'I'.IIIIIIIIIIIIII'III'I'I'II'I'I'I'III'I'III'I!II'IIIII'I'III'I'IIIII:IIIIIII'III'IIIIIIIII11'111'11'1'11111111'111'111'111'11'" <br /> <br />o BUILDING po 1$ 3D O. ~ I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ 1 <br /> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br />11111111111111111111111111111111111111111111I111111111111111111:11111111111111111111111111111111111111111111I11111I11111111111I111111111111I111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />./ BUILDER <br />SIGNATURE <br /> <br />it LtJ--w. <br /> <br />48~ <br /> <br />COMPANY / 1 f/tJ IYl /; tJ aJ JJ ell, <br />REGISTERED I Y I N I FEE CURRENT <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address I <br /> <br />PLUMBER j. <br />SIGNATURE , <br /> <br />I <br /> <br />~ <br />I <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE i' <br /> <br />Address , <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br />1111III111111111111111111111I111I11111I111111111111111111111111111.111111111111111111111111111111111111111111111111111111111111111111111111111111 t <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 onsite, Construction Plans. Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 onsile, 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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY l <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />I................................................................................................................................................1 <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. (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 . (Frontaf Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />