Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name /On ° /4 get/ e v Owner Phone Number <br /> Owner's Address 6 701 .6� (aa O e C( '✓ Owner Phone Number I I <br /> Fee Simple Titleholder Name Owner Phone Number I I <br /> Fee Simple Titleholder Ad i Address s , <br /> JOB ADDRESS 701 Bliss r'`i OV c C t / f Z GI i �` f F` LOT # <br /> SUBDIVISION Dv( "7 r'" 0 04 PARCEL ID#1 oa — (9 , (n — a f 0-000 o 0-1 S 1 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT 1 I SIGN I 1 MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL L I { ' I OTHER I <br /> DESCRIPTION OF WORK RC- r ° 14 c9 St tN f e1 (' y / r' yi /" 54 k c <br /> BUILDING SIZE SQ FOOTAGE 26, 0 0 ( HEIGHT <br /> I I BUILDING $ v U J VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS V 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INC) <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # g—,0-04--6.- <br /> OTHER <br /> COMPANY <br /> SIGNATURE v REGISTERED I Y! N 1 FEE CURRENT I 41 I <br /> Address PC) 8 k (( —sa �. Ah K, i F 1 3 -5 ? c,° License # <br /> CLLOr79 <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 Budding 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 /> 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 />