Laserfiche WebLink
813-780 -0020 City of Zephyrhills Permit Application rax -o -10U <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> IIIIIIIII1IIItILLLLLE <br /> Owner's Name c.Shtivn alb t4 j Owner Phone Number <br /> Owner's Address 1 37s /JPU1e M I Owner Phone Number <br /> Fee Simple Titleholder Namel Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I 375 i ea RN" .4e- Z9 330/ I LOT # I 10 <br /> SUBDIVISION 1 64X/1 A/ja w ' I PARCEL ID #I V dtr -01-00g) m - f y3V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ln NEW CONSTR I I ADD /ALT I I SIGN Q MOVE I 1 DEMOLISH <br /> 11,2 INSTALL REPAIR <br /> PROPOSED USE I' ,eI SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK 1 re9 /i& 1/ W M. I <br /> BUILDING SIZE SQ FOOTAGE I I HEIGHT I I <br /> EN BUILDING $ <-. 23.1 c' VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ V V AMP SERVICE 1 1 PROGRESS ENERGY El W.R.E.C, <br /> I I PLUMBING $ , _ >,, <br /> ' 9 <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 1 ROOFING I 1 SPECIALTY 1 I OTHER f 1 f <br /> YES <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON E AREA 1 I I INO •t aji) Ui W / <br /> BUILDER ` 9 ( O COMPANY 4J c$ "AA - Z 1 <br /> SIGNATURE C(� ° / J REGISTERED Y / N FEE CURRENT I Y / N I N , <br /> Address G 5/0 Teri 41 : 0 - Al 2y4/a )5(' License # ICI 0 446 7 7 J. f . . <br /> ELECTRICIAN COMPANY - ' _ -...- <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <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) 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 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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/G Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />