Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application 1k: B' o. 2. (2 () <br />Building Department fT--P <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received ,. - tJ b <br /> <br /> <br />Owner's Name {)m m ? ~ <br />Owner's Address I L/CJS b? -r; m bar ~ <br />Fee Simple Titleholdl!r Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />!~q5;;j 17IJ1W LUEuj 2//-t!!6 F/ 335f'~ <br />I {!/)/L/e -t 09'da/ e..... I PARCELlD#/ ' <br />/ <br />D NEW CONSTR CJ ADD/AL T 0 <br />IkJ INSTALL D REPAIR <br />PROPOSED USE [](] SFR D . COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D <br /> <br />DESCRIPTIONO'WORK I~~t>f) 111C-k~ Jn$~/J <br /> <br />BUILDING SIZE I .' SQ FOOTAGE I I HEIGHT I . I <br /> <br />""""""""""""""'1""""""""""""..".,..,;..".".",....",.."...",...".,.:.."",.,....,",..,.,"',................111 <br /> <br />D BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERGY <br /> <br />ciJ PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />DGAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />D <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />1""'""""""""""""""""..".,..,...".,..."..'..'...".'I."...'.."'."..."..'...,.rll..'..,..."...,..."..,...,.....,..."..'1 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED I Y/N FEE CURRENT Y/N <br /> License # I <br />I ~~~ ()u)/lG72- <br /> FEE CURRENT Y/N <br /> License # I <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />Address <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />1111111111111111'11111111111111111111111111111111111111111111111111111"1111111111111111'11111111111111111111111111111'111111'1111"11111111111111 <br /> <br />License # <br /> <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 Silt 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 on site, 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 />111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1 <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. (Ale 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 NC <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />