08-7699 - Laserfiche WebLink

Browse Search

8113-780-0020 City of Zephyrhills Permit Application Building Department Date Received 11111111111 Owner Phone Number 9 13 .. 7.P j ~ ]D/3 Owner Phone Number I Owner Phone Number I Owner's Name OWn.fs Add.... I W3<3 .~ c..... Fee Simple Titleholder Namel _ JOB ADDRESS Fee Simple Titleholder Address I hi ~ I SO 3r"J (3,4-// I 13 ) l/eI LOT# SUBDIVISION PARCEL 10#11/- ~11 -~/ - Of!) / ().. / 9/bP .. ()~ (OBTAINED FROM PROPERTY TAX NOTICE) I B D D LrtA +;('-etJ.ltill BUILDING SIZE I I SQ FOOTAGE I HEIGHT I .., I I . I I , I . . . . If' , I . , , '.' I . . . . I , , r I I . . I I I . . r . , . I I . . . I I . . I I I . . . . I . . I I . . . . I I I ,., . . I . I . . I I I . . . I I , . I . . . I . . ... . I . . I I . . . . . . I I I I I . . . . . I I . I I . , I . I I . I I . I I . I I I I . WORK PROPOSED E3 D D IL/~ NEW CONSTR iNSTAll SFR BLOCK ADD/ALT REPAIR COMM FRAME D D D OTHER STEEL I f(9 /.;, f 1- 1'1 r~lLNI' / ) OTHER I SIGN D MOVE D DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION D DESCRIPTION OF WORK D BUILDING 1$ ~. <ISD. "i> D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ D GAS D ROOFING FINISHED FLOOR ELEVATIONS VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION D SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO BUILDER SIGNATURE ~ S (' t.n. L"lpr r; rn ~ :J#.<:. . , '~ N ,........ ~~URRENT I YIN I License # I ~ C () 5 '1 ~ /7 Address ELECTRICIAN I SIGNATURE . Address I PLUMBER I SIGNATURE . Address I MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I 111111111I111111111111111111I11111111111I11111111111111111I11111111111111111111111111111111111111111111111111111I1I1111111I11111111111111I11111111 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 onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCtAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 111I11111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II111111111111I1111111111111111 Directions: Fill 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 NC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW