Laserfiche WebLink
<br />Date Recel\ted <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />r-i::tX-O 1,)-/ OU-UVL. I <br /> <br />813-780-0020 <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br />1.>4~ I <br />1I(~wner Phone Number <br /> <br />Owner Phone Number I <br /> <br />--'Lf7~ <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br /> <br />LOT # <br /> <br />La 'S~S-,+~ <br />I \ -O\~O'-ocaO -- oaOO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />n NEW CONSTR r=J ADD/AL T D SIG~ D MOVE D <br />D INSTALL D REPAIR .fl,-Q. -vcx::>-r <br />PROPOSED USE 0 SFR D COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL <br /> <br />DESCRIPTION OF WORK I Cb tv! d..Q '}D~ V- ~ 'L ( ..Q. -y c:>CJf- <br /> <br />I SQ FOOTAGE I d?:>ro I <br />1'1111'111'1'1'11"'11""'1'111111111111"""'111111"111"""11""'1111111111111111111111111111'.""11"'1"'1"""-'111111111"11"""'11' <br />D BUILDING 1$ 5 350 . I <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS [2(] ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo <br /> <br />111111I11I11111111111111111111111111111111111111111111I11111111I1111111111111111111111111111111I11111111111111111111111111111111111111111111111111 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />I <br />D <br /> <br />.- h(JL{~..e <br /> <br />HEIGHT I <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br /> <br />License # I <br /> <br />IR~~7 ~~i.~':tlry~y <br /> <br />License # Iccc \ ~S'50.s <br /> <br />RESIDENTIAL <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. Requlredonsite, Construction Plans, Stormwater Plans wI Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site Work PermIt for subdlvlslons/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 onslte, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must me!;!t 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 />..111.111111..1111......11..,1..11..11..111111111111111111......111,.111111.....11...1111....11......1.1111.111..11111......11..11111111111111..11 <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. (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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />