08-7764 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name ~q - -11 'S ~ ~ P (t' '" (Yl<1Vl () l..t otf L I fL I~ h"2 '7... {p 11 Owner's Address 31 :3 revfV C . ( . r/lve... k,^ (X -{Y" rO( c.€ :7.J Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received Fee Simple Titleholder Address I 130/11 f\'Itc1lcCt/ {~"t (-cr/' /tve L<fk;vh,/IJ (/ ( 335YO I I PARCELlD#B)-l. ~ - 2..\ - 60l 0 -00000 -00.>3 (OBTAINED FROM PROPERTY TAX NOTICE) [:=J ADD/ALT 0 SIGN D MOVE 0 D REPAIR D COMM 0 o FRAME D LOT # JOB ADDRESS SUBDIVISION WORK PROPOSED B PROPOSED USE 0 TYPE OF CONSTRUCTION D DESCRIPTION OF WORK \p..oaf 0 vie-II' ...,J / &, Tpo vJ k,'k J'-'I. bhev I SQ F~OTAGE I .11' tJ 0 5t /~1 HEIGHT "p..II....II....III...II...II.II......III.'..II..............'"11...........11....111....11.....11..........1111..........111.11........11...111.. NEW CONSTR INSTALL SFR DEMOLISH I D OTHER I BLOCK OTHER STEEL BUILDING SIZE 10 c-f-t~ I D D D D 1$ 5 SOD/DO 1$ 1$ 1$ D GAS .~ FINISHED FLOOR ELEVATIONS I ROOFING I I I I o I AMP SERVICE o PROGRESS ENERGY D W.R.E.C BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO I I , I . . I , , . I . I I , I I . . I , I" . I ~ . . . , I , . . I I I I . . I , , r I . . . I , , , . . I I r I I I , , I . II , , . I . . . I I I . I . , I I I , . . I I , . I I I" I I I . . . I I I . , I . I . I , . . . . , , I I I . , . I I . . . . I , , . . . . I · . . I I . . I I COMPANY REGISTERED BUILDER SIGNATURE Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/ N FEE CURRENT License # Y/ N FEE CURRENT Y/N Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address COMPANY REGISTERED PLUMBER SIGNATURE Y/N Address Address MECHANICAL SIGNATURE Y/N OTHER SIGNATURE Address I Po boX (Irk' COMPANY REGISTERED License # I I S(O W[Lc t~.A '- I Y / N I FEE CURRENT 11II111111111111111111I1111I111I11111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111I1111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects 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. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans, ....PROPERTY SURVEY required for all NEW construction. 1I1111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111I111111111111111I Directions: Fill out application completely, Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) ..r t77V Itn- V\ 3/3)70 License # ~~..:-:r I Y / IrC{OJ;77>7 Driveways-Not over Counter if on public roadways..needs ROW