Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />,v\~; <br /> <br />OWner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />L177fl <br />I <br /> <br />e : l ~t\ d <br /> <br />LOT' <br /> <br />~, lIeL <br /> <br />PARCELlDlI OJ-J~- Jl- 00'0. o"Joo - 0000 <br />(OBTAINED FROII PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />~ <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I Se~ - ""'E' <br /> <br />I ~," 1" ~ JJ' 'I" I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />I <br />E3 <br />D <br />D <br /> <br />ADDIAL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />BUILDING SIZE <br /> <br />+rl,... (J1lr c.. r r M " c! ..cI tAr <br />SQ FOOTAGE I , S- 50 <br /> <br />D <br />00 <br />D <br /> <br />D <br /> <br />D <br /> <br />SIGN <br /> <br />MOVE <br /> <br />DEMOLISH <br /> <br />OTHER I Ga,," <br />STEEL l!{] OTHER I """..i....\a..r <br /> <br />if""'.\cl.:,,,~ +.:JI" ~ <<"41'\ k <br /> <br />HEIGHT I I <br /> <br />~" <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br />- <br />BUILDER <br />SIGNATURE <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />~ <br /> <br />D <br />r i ~ to..~ \r-.. ~ <br />~ IL~fd SfM, <br />::10 I- t-JffV <br /> <br />W.R.E.c. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />I8JNO <br /> <br /> <br />Address <br />ELECTRICIAN! A I J J <br />SIGNATURE . ' (~ <br />Address <br />PLUMBER ! A II / n/,- <br />~NATURE'~ ~ <br /> <br />~ <br /> <br />Address <br /> <br />~~~I~ <br /> <br /> <br />Address C <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License' I <br /> <br />I MtA.I'"+: " ;; Ie cA-r; l.J <br />I Y / N I FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />License ,. <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License , <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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. (AIC 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 />