Laserfiche WebLink
<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department * ~1 z" <br /> <br />~(3 <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Owner's Name <br /> <br />L~me/'4 <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />/JlI t!. - F L / /r L.Le <br /> <br />Q/.Laehr 1Uf4< J~f <br />" <br /> <br />Fee Simple Titleholder Address <br /> <br />I J~ u aIxxe. <br /> <br />l/JJo.,;eJk OaJ4- R.Y I-Alf.p PARCEL ID#I <br /> <br />rJ. NEW CONSTR c=J ADD/ALT D <br />If:j INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I CCLrpor-t-1 5c...rt::t::.^ )2""7, 0~ <br /> <br />BUILDING SIZE I t.Jl/' lC /1./ I SQ FOOTAGE I t8. I f4 tI HEIGHT <br /> <br />[$1111' ~~I~~II~~ IIII'IIIII~ II;~: II~I~I~': I ~'" II i' IIII ~~~~~~;~'~ I~~I ~~~~~ I~~~~~~~~;I~~"IIIIIIIIIIIIIIIII'IIIIIII' I'" 1'1" 1'111 <br /> <br />SUBDIVISION <br /> <br />I LOT # I to ~ <br />~I/ -~ -J./- OcJOJ- oo/Od - do! cJ <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111111I111111111I1111111I1111111111111111I11111II~IIIIIIIIIIII"UIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111 <br /> <br />BUILDER W; /. / /- j-' t. < COMPANY I ~aA/' fJ 4dvu. ~ . I <br />SIGNATURE ~ J.I..ht1J/-tv / REGISTERED I Y I N I FEE CURRENT I Y I N I <br /> <br />Ftr.J-. rw- <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />PASCO PERMIT SERViCE <br />(813) 7~18-5314 <br />VALUATION OF MECHANICAL INSTALLATION ~AX 1-~6n-824-7e94 ~ <br />~~ '1-tNV'~;X <br /> <br />Address <br /> <br /> <br />Va <br /> <br />License # <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br />1111111111111111111I111I11111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />SIGN PERMIT <br /> <br />1,.11111..111....1""11111111111".,11"'.."'.1111.1.....11..........1111.........11..........1111...111..111....111111......,11.11......111.111 <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 NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />