Laserfiche WebLink
Fax - 813- 780 -0021 <br /> 813 -780 -0020 City of Zephyrhills Permit Application o <br /> Building Department 93 <br /> Date Received ! —. - 0 Phone Contact for Per ing if A b l i <br /> •.•u 11110 o 3 <br /> . . Owner's Name m 1 CHM ?) CKeft isle - .3 (AI , 'Owner Phone- Number 813 8yel £S8 6, <br /> Owner's Address IKaOt +✓ <br /> t �i� IhORe '81 d - /76/ 3 PAL Phone Number I V13 4 00744/ I <br /> r �� ( <br /> ( M i d/het p/CxeR /Aj& '0W O wner Phone Number I <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address 1 I <br /> JOB ADDRESS I <br /> 64a 166/0 $ Thpiu l 2 zero 33542, I LOT # I /AZ I <br /> SUBDIVISION 1�7 <br /> I [ 4 an &IA I PARCEL ID 40 " 4,14 4 / - D %r ACCIDO - a7,0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I SIGN 1 1 MOVE 1 I DEMOLISH <br /> n N E l REPAIR <br /> II <br /> J INSTALL <br /> PROPOSED USE I I SFR 1 1 COMM I 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL I I OTHER' <br /> DESCRIPTION OF WORK I Poo 6 €I- " 2170 ` & .4 D <br /> BUILDING SIZE I - 1,5 - o0 ..sr I SQ FOOTAGE I I HEIGHT / <br /> SKI BUILDING 1 2ai0Otto . I VALUATION OF TOTAL CONSTRUCTION AR) 000 <br /> I 1 ELECTRICAL IS I AMP SERVICE I I PROGRESS ENERGY 1 1 W.R.E.C. <br /> �r 9' <br /> 1 1 PLUMBING I I �� <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATN <br /> I I GAS ,r ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS i I FLOOD ZONE AREA 1 IYES LINO <br /> COMPANY I I <br /> BUILDER I F EE CURRENT Y / N 1 <br /> SIGNATURE I REGISTERED L Y/ N � � <br /> I Li cense # I I <br /> Address I I <br /> ELECTRICIAN I COMPANY I <br /> SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I I License # 1 I <br /> PLUMBER <br /> COMPANY 1 I <br /> SIGNATURE I REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N <br /> I L icense # I I <br /> Address I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # I I <br /> /l COMPANY I Th OTHER /�OrI i AtON\°' <br /> REGISTERED / N 1 1 <br /> SIGNATURE E FEE CURRENT ( I N I <br /> Address 0Z /B E. tla pp � <br /> �/ 400 .0 Po/ d, 7'R', License # [eke 00316 8. 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) 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 /> 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 /> Reroof Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />