Laserfiche WebLink
<br />Date Received <br /> <br /> <br />rJ.. /10 City of Zephyrhills Permit Application Fax-813-780-0021 <br />-f vh I Building Department../ .- ~r _ .f <br />,. I' I t:VW1 t; ~6" Ltlrft /1 ( !d ;(4<< <br />-Z"j( L LV) <br />one Contact for Permitting <br /> <br />813-780-0020 <br /> <br />Owner's Address <br /> <br />F.. Slmpl. T111.hold" N""~ <br /> <br /> <br />Fee Simple Titleholder Address . <br /> <br />{MJ.L / <br />( <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />I <br />B <br />D <br />D <br /> <br />I LOT# I <br /> <br />PARCELlD#1 (J 2--lfP-1.A -ODlO"~5oo-wlo <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />E3 <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D BLOCK <br /> <br />DESCRIPTION OF WORK I ~ <br /> <br />BUILDING SIZE . I FOOTAGE I HEIGHT I <br /> <br />"."""."",.""""""""""""".".",..","""""""..""".""..""""",.."",..".".""""",."""",.""."",."" <br /> <br />D BUILDING 1$~.:s--.5 I rVALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />""'P"""""'I"""""I"""""I"""""""""""'11""'1'1'1"""1""""""""""'1""1"'111"""""""""""""""1 <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <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 />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />111111111111'111111111111111"11111111111111111111111111111111111111111111'11111111111111111111111111111111111111111111111111111111111111111111111 <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 w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 onsile, Construction Plans, Stormwater Plans w/ 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 />11I1111II1111111I11111I1111II1111II111I1111111111I11111I11111111111111111I1111111I1111111111111111111111111I11111111111111I1111111111111I11111111I <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />