Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date R~ceiyed . <br /> <br /> <br />Fax-813-780-0021 <br /> <br />{f1~ <br /> <br />Owner's Name f(e ~ ~ If (;-11 res te n .$en <br />Owner's Address I 3 ?'5"7? l4le4d~ WCf)",d <br />Fee Simple Titleholder Namel <br /> <br />L.&~~ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />(8'/3) 78-1-&9 5~ <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br />I 39S 7~ me~ttJ cod.. Loc:J p <br /> <br />Im~ecJ~ woOed /!!5t&.t-es,,-1 <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />B <br />~ <br />D <br />I Re V" (!)O t} <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PARCEL ID#1/3-.;l~-.:lI-b'~O - ~()6 ~ 1110 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />~ <br />D <br />t8J <br />p ()J- ttc\ I <br /> <br />BUILDING SIZE SQ FOOTAGE I 85D HEIGHT I <br /> <br />1"'11111111111111"11111111111111'111111111111'11111111111111'111111111111111111111111111111111111111111111111111111111111'1111111'11111111111111 <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br /> <br />1$ Il"o D'J!- I <br />" <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS g] ROOFING D SPECIAL TV D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11I11111111111111I111111111111I11111I1111111I111111111111I111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />~ 4- (:LlL~ <br /> <br /> <br />'3t57~ r1~tpOd&. Lf License # <br /> <br />11111111111111111111111111111111I111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />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 w/ 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 w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />t)wnev- <br />I Y / N I FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />iii~~~ii~~~': . . . 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 I I I . . . . . . . I I I I I . . . I I I I . . . . . . . . . . . . . . . . . . . . . . . <br /> <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 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 />