Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br /> <br />~---t 1<" 1. () <br />Own,,'. Add,..s.I :l'J--b~~ ~ <br /> <br />Fee Simple Titleholder Namel ....-~ <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I ~ <br /> <br />t;' C; ( 6' J 1'7 <br /> <br />~ ~l'?:Jf / E/ :r<S--'l~ I LOT' I <br /> <br />I PARCELlD# /-;)lr,2/- (JO I CJ - ) '37' t):!J- 0 ( A 6 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR D ADD/ALT D SIGN 0 MOVE D <br />INSTALL D REPAIR <br />D SFR 0 COMM D OTHER I <br />D BLOCK 0 FRAME D STEEL 0 <br /> <br />I ~OOT5'tJ/i;ifl ~GHT I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />1$ 1-//;,500 <br />J <br /> <br />1$ 36C)CJ <br /> <br />1$ <br /> <br />1$ ! /; rf} (!) <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS 1 <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />!:J-. I <br /> <br />o <br /> <br /> <br />W,R.E.C <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN /J <br />SIGNATURE L:., <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />DNO <br /> <br />I~~.; ~ y~ <br /> <br />License # I C&-O/oq~ <br /> <br />rar'~f{~~:~T I Y/N I <br /> <br />License # I fC/ )?; Dt) 2-<5 I ~ <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />2P.w^{ ~ <br />I Y / N <br /> <br />FEE CURRENT I Y / N I <br />License # IlZ m CD / &-'f 6 ( <br /> <br />Y / N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />11111II1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 onsite, 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 />11111I1111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111I1I111111111111111111I111111I1111111I1 <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 (PloUSurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />~ <br />.,,->-~ <br />