Laserfiche WebLink
813 - 780 -0020 City of Zephyrhills Permit Application ,r � .� Fax -813- 780 -0021 <br /> Building Department [� <br /> Date Received Phone Contact for Permitting d5 t J Ld Z - - d 6423 <br /> Owner's Name �, ex) �Jo 4 Owner Phone Number gi 3 - zee- - .. - g - <br /> Owner's Address 44 '4 / AJo 'h/, - -e- . Z) Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS Ca 4i iii f / 0i ?" /,V< e LOT # <br /> SUBDIVISION S, /ver 10/3i 5 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> _ INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM n OTHER <br /> TYPE OF CONSTRUCTION 1 1 / BLOCK L 1 FRAME 1 ---- 1 n STEEL n OTHER 1 <br /> »! / <br /> DESCRIPTION OF WORK e6/ff-0“ L ° - 0 d 4 <br /> BUILDING SIZE SQ FOOTAGE I HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> PLUMBING $ <br /> I 1 MECHANICAL $ I r//„S. (9 C^ , G ,0 VALU OF MECHANICAL INSTALLATION <br /> GAS 1 j ROOFING V 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES [] No <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> 1 <br /> MECHANIC t / 6 /4 - 11/2 ` s Op*1q ) e 64-5 <br /> n A SIGNATURl.�r COMPANY / �(� REGISTERED I Y / N FEE CURRENT 1 Y / N Addre l � "lle&! kc/ Z-131/15 fZ '354.1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address I License # <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 Pem!it 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/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />