Laserfiche WebLink
<br />B 13-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />#/7~1 <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br />1111111111 <br /> <br />Owner's Name <br /> <br /> <br /> <br />d~ <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />V Pi/A <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I S/7m.E <br />mlt:rS7l~ CJ8KJ' ~c.J I <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE D DEMOLISH <br /> <br />WORK PROPOSED <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALT D <br />REPAIR <br />COMM D <br />FRAME D <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE I <br /> <br />......1111....11...11....11.......'11........'..11....1'..111..11.....11....11.11.......111.'11.......,.,...........111111.......11.1111111111111"" <br /> <br />SQ FOOTAGE <br /> <br />HEIGHT I <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION /&Ct:J~ ~O <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo <br /> <br />I . . I , f . I P . . . I , I . . , ~ I I , P . I I I I , I . . , II . . , , . . . . . I , I I . , , I , I . I . . , II . . I I , . I . I II . , , I . . I I r . I I I P I I . I . , I I I . , I , I . I . , , I , , I . I I , r . I . . I , r I I . . , . . . I , I . . p , . . I . I I . . , p <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # I <br />OTHER I ~i/w t"'drRP.t-~ <br />SIGNATURE . N I FEE CURRENT I Y/N I <br />Address / License # 1::2-/-I//lf I ,;:?4.J-~.- <br /> . <br /> <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 sUbdivisionsnarge projects <br />COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111/1111111111111111111111111111111 <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 cqntractor) 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 /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />