|
<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />F"-813-7a0;7 00("
<br />
<br />11,.."""
<br />
<br />
<br />A~
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />
<br />Fee SimplE! Titleholder Namel
<br />
<br />D
<br />
<br />Fee SimplE! Titleholder Address I
<br />
<br />I J?9/2 cr// #C/~ I LOT # I
<br />I '>/4&V.f /.Alfe ~4f e I PARCELlD#I/O"Zh-bf..o~c.fo-(JJJ(){) - ()05/J
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />
<br />o NEW CONSTR E3 ADD/AL T ,.fK] SIGN D MOVE D
<br />D INSTALL REPAIR
<br />
<br />PROPOSED USE !:2J SFR D COMM D
<br />
<br />TYPE OF CONSTRUCTION ~ BLOCK D FRAME D
<br />
<br />WA//-I- E~c ~1'~At/
<br />
<br />
<br />BUILDING :SIZE I sa FOOTAGE I 9 tf 2-. HEIGHT I
<br />TIIIIIIIII.IIIIIIIIIIIIIIIIIIIIIIPllllllllffllllllllll11111111111'111111111111111111111111'111111111111111111111111"11111111'11111111"1'11111111
<br />
<br />
<br />:
<br />I
<br />I
<br />D
<br />I
<br />
<br />JOB ADDRESS
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />DEMOLISH
<br />
<br />OTHER I
<br />STEEL D
<br />
<br />OTHER I
<br />
<br />DESCRIPTION OF WORK
<br />
<br />BUILDING
<br />
<br />:: 1 a cJ ,7
<br />
<br />1$
<br />1$
<br />D
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />P
<br />D
<br />D
<br />D
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />PLUMBING
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />
<br />
<br />
<br />/J // ,;:::/ ./
<br />./:/~./'l. ~. C~
<br />
<br />
<br />.~
<br />
<br /> License #
<br />YI N FEE CURRENT
<br /> License #
<br />YI N FEE CURRENT
<br /> License #
<br />YI N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br />
<br />Address
<br />
<br />vJ,.eLECTRICIAN
<br />1'l SIGNATURE
<br />
<br />~s~.y
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />License #
<br />1I111111111111I1111111111I11111111111111111111111111111I11111111111I1111II11111111111111I111111111111I1111111111111111111111111111
<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 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 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 />i:il~~~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 AlC Fences (PloUSurvey/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 />
|