|
<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />'3Cfzoo
<br />
<br />
<br />/r?(~i
<br />,-hli'/) FI, 33!>-i./l.
<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 />I D - ---z.y.- 0
<br />S-fd)J~ rJ'1-1hJ),
<br />
<br />
<br />Owner's Name
<br />
<br />Fee Simple Titleholder Address
<br />
<br />WORK PROPOSED
<br />
<br />B
<br />D
<br />D
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />Z~~rA/I/J
<br />I
<br />B
<br />D
<br />D
<br />
<br />JOB ADDRESS
<br />
<br />ocJ.:2./ 151- 5-./-.
<br />
<br />,Fl. 33Y'/2-
<br />PARCEL ID#I
<br />
<br />LOT #
<br />
<br />SUBDIVISION
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />DEMOLISH
<br />
<br />D
<br />
<br />D
<br />D
<br />
<br />DESCRIPTION OF WORK e .6kr/?f Ct;';1- ,6'/~er (m"i..v
<br />
<br />BUILDING SIZE SQ FOOTAGE I HEIGHT
<br />TTfTTTlII ' , , 111111 ' , 11111 ' , II , III ' , 1111 ' , , I 1I11 , 1111 , II111 . . 11111111 " III .. 11111 ' .. , 11111 , , , " III ' , , 1111 ' . III ' , , , 11111111 ' , I " lIP " 111111 . 11111111
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />
<br />OTHER I
<br />
<br />
<br />D
<br />
<br />1$ I
<br />1$ I ~~E::VICE
<br />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 />I11111111111I11111111111111111111111I11111I111111111111111111111111111I1I111111111111111111111I111111I1111111111111I1111111I11111I111111111111111I
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />~
<br />D
<br />
<br />PLUMBING
<br />
<br />ELECTRICAL
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C,
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />Y/N
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Address
<br />
<br />Address
<br />
<br />V~)'.d~
<br />39ft! ;0" IIr~ ;f~ 2eyL,Y-).':;/5 FI
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />.3 :3 5-'!tJ I
<br />
<br />License #
<br />
<br />~ D~cl--o<
<br />L..L..~ I FEE CURRENT 1cJ:7 H I
<br />
<br />License # I EC-oo~/U'i?
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I License #
<br />1II1111111111111I1111111111111111I111111I1111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111
<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 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 projecls. All commercial requirements must meet compliance
<br />Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />SIGN PERMIT
<br />
<br />jjl~~~ii~~~': . , , , , , , , , . , , , . , , . . . . , , . . . , , . , . , , , , , . , . , , . , , . , . . , , , , , , , , , , . . , , . , , , . . , , , . . . . , , . . . . , . '. . . , , , , . , . . . . , . , , , , , , , , . , , , . , , , . , , . . . , . , . , , . , , , , , , , , ,
<br />
<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 AlC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
|