Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />1f 17Bo <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address '73c <br />Fee Simple Titleholder Namel 3 7'7{)( ~ O~(~I <br /> <br />Fee Simple Titleholder Address I <br /> <br />(!)~ 12u~ ~o <br /> <br /> <br />I PARCEL ID#I ::>1 ~:JS -:J/- MtJo -t"J n.3o(!J - 0 I () cJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />c=J ADD/AL T SIGN D MOVE D <br />D REPAIR <br /> <br />D COMM <br /> <br />D FRAM~ <br /> <br />JOB ADDRESS <br /> <br />I 3770( <br />I <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />~ NEW CONSTR <br />o INSTALL <br />PROPOSED USE D SFR <br />TYPE OF CONSTRUCTION D BLOCK <br /> <br />DESCRIPTION OF WORK I g~~ \L, ~ <br /> <br />h 'X.. /<7.- I 1 FOOTAGE <br /> <br />D BUILDING 1$ 7QQ.5 ~ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />DGAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br /> <br />BUILDING SIZE <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 />VALUATION OF <br /> <br /> <br />D ;It"ESS ENERGY D W.R.E.C <br /> <br /> <br />j ~j:,~TALLATIO.c;;; ~2 <br />5!J1 <br />8l/..~ <br /> <br />OTHER <br /> <br />SPECIALTY <br /> <br />FLOOD ZONE AREA <br /> <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />1_~-1ofEE~~ ~yb <br /> <br />License # I rc B f!.. c;> I OCJ:J. g <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <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 />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />11111111111111111I1111111111I111I1111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 <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 Sill Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 wI 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 />1111I1I111111111111I11111111II111111111111I11I1111I111111111111111111111111111111I111111I1111I1111111111II1111111111111111111111111111111111111111 <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 NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />