08-7560 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit Application Building Department r-ax-o 1,)- t OV-UUL. 1 Owner's Name S"i-.Q. V Ilvl Owner's Address I 5 \ q 5 Fee Simple Titleholder Namel y\o.- K 'j \ b0\.V ~ LAvY\VYl~~ t-\, \ \1>"1\1 ~ Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received JOB ADDRESS Fee Simple Titleholder Address I I SILtS- ~lAMW1~N'I\\ \>Y. Z-eph~rh' \ Is. FL-- 3));LQ- I LOT# I I I PARCEL ID#1 \9-- d~"'~\-O\CD-OCXXO-C?~O uzb. (OBTAINED FROM PROPERTY TAX NOTICE) r-=J ADD/ALT SIGN D MOVE 0 DEMOLISH CJ REPAIR "L - voofl CJ COMM c=J OTHER I D FRAME 0 STEEL D SUBDIVISION BUILDING SIZE I1IIII , I II , I III ~ , It , , I , I ,. I " .. III . 1111 . I " . . . " II " III II . " I .. 1111 I , , , I III I . " . , It. I , , . " , , , , . III fill' . I " . I , , . I " I , , I . till' 11 , II , . I I . I II , . " I II . g c=J I 4\ <.L ~ yr ocIT I SQ FOOTAGE I NEW CONSTR INSTALL SFR BLOCK WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION OTHER I DESCRIPTION OF WORK HEIGHT I D 1$ ~155 ~ .02. I o ELECTRICAL 1$ I o PLUMBING 1$ I o MECHANICAL 1$ I o GAS 0 ROOFING CJ SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111 11111 I I 11111 11111 11111 11111 III 11111 III III 11111 II 11111 III III 11111 11111 I 11111111111111111111111111111111111111111111111111111111111111111111III BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D tJW W.R.E.C. VALUATION OF MECHANICAL INSTALLATION COMPANY REGISTERED BUILDER SIGNATURE Y / N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE Address I PLUMBER I SIGNATURE I License # COMPANY REGISTERED " Y/N Y/N FEE CURRENT License # COMPANY REGISTERED Y / N FEE CURRENT Y/N Address MECHANICAL I SIGNATURE License # License # I OTHER COMPANY lW\'Yo\Y'l ~Co{\~ ::t:-vC . ~_GNATtJR REGISTERED ~I Y / N I FEE CU~T I Y / N I .. Address 13" . License # I ~C c:. I S,;{ 5505 I 11111111111111111111; IIIII~ IIIII~ ~ I ~II ;~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11I111111111111111111111111111111111111111111I11111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Sill Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address COMMERCIAL SIGN PERMIT ...11111.1111.1111..11...11......11..111.111..111.........11...11..............11.....11.....11...11..,...11.1.1111111..1111...11111.1111111111..11 Directions: FIIi out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) .. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter If on public roadways..needs ROW