Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />-jd. ~o16 <br /> <br />Fax-813-78Q-0021 <br /> <br />Date Received <br /> <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name - jb~ <br />Owner's Address I Ii qlJ I ~l""~ ~ ~. <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address I <br /> <br />I bq2> <6 <br />I <br /> <br />SUBDIVISION <br /> <br />~r~/<4J ~e- (A.~~Pl~~ I LOT# I <br /> <br />I PARCEL 10# 10 J.- "JI,- ~) - 0 "J..~~ OD()OD - DO 70 I <br />(OBTAINED FROM PROPERTY TAX NOnCE} <br />o NEW CONSTR E3 ADD/ALT ~ SIGN D MOVE D <br />D INSTALL REPAIR <br />D SFR 00 COMM D OTHER <br />D BLOCK 0 FRAME D STEEL D <br /> <br />I tJo~- t~~..J ~ M t !U\f~ cg. ~()'^'~~") ~ <br /> <br />I SQ FOOTAGE I I HEIGHT I <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />OTHER I <br /> <br />~Q.A. <br />I <br /> <br />DESCRIPTION OF WORK <br /> <br />I" <br /> <br />11111111111I1 <br /> <br />11111111I <br /> <br />1111111111 <br /> <br />1111111'" . <br /> <br />1111111 <br /> <br />.. 111111111111 <br /> <br />1/11111111 <br /> <br />D <br /> <br />BUILDING <br /> <br />1$ '7VOrtTD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO <br /> <br />1111I11I1111111111I11I11I111111I111I11111111111111111111I1111I1111I11I11111111I1111I111I111111111111I111111111111111111111I11I1111I11I1111111I111I11I11I11111111I11I111I11I11111111111I11I1111I11I1111111111I11I1111111I111I111I11I11I11I1111111111I11I11I11I111'111I11I11I11I1111I111I11I11111111I111I1111I1111I11I111111111I11I1111I11I11I11I11111I1111I1 <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <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 /> <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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />Address <br /> <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br />Address 1'1 a 1 ;;. IJfIV\l) ~ M €- <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />1&.>oovoq.t7 <br />, <br /> <br />I' <br /> <br />SIGN PERMIT <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 wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />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 />Attach (2) sets of Engineered Plans. <br />''''PROPERTY SURVEY required for all NEW construction. <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />L <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 contractor) or Power of Attomey (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 />Driveways-Not over Counter if on public roadways..needs ROW <br />