Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 1 Phone Contact for Permitting , 1 lo -- 0Gi') C <br /> Owner's Name C )( ,, y \ t R \(--) ' 1 < k-l( -- '1 ai V---- Owner Phone Number ':-) 10 ''`-• t 9 CO? <br /> Owner's Address St 3 GA \1 "I }0Ct Owner Phone Number <br /> Fee Simple Titleholder Name fr' IA. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5C' 1 t Cl G, \ o 1 v C LOT # <br /> SUBDIVISION PARCEL ID# \ \ - - 2 1 - 00 1.c 1' 1 OQ CiOO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME n STEEL F OTHER I I <br /> DESCRIPTION OF WORK 11 F. ‘`■ `,o 44 a .J kro Lat t �'--C1o%k t.-y_ r`^' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 0 <br /> I I BUILDING $ 1 ` ' ` 1 1 1 p Do VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ o AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> 1 I PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES nNO <br /> IF i <br /> BUILDER NATURE MAWS/ / , WL / V 91 l R COMPA R NY D )-C,Ik ¥/ N 1 F CURRENT J ¥ / N j <br /> SIGNATURE <br /> Address License # C CC: 0 5 8/ i 7/ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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 I Y/ N I <br /> Address License # I <br /> OTHER COMPANY v..1 )0(1(ki )c,z: 4 u c5 i r , L. J 4 \C_, SIGNATURE REGISTERED I Y / N FEE CURRENT Y / N <br /> Address I 6 1- ' C 1 G-(ti k t 1 v (4 � e Ip h `1 r V t 11S 1- \ License # , C. ( C 8 'I' t-j 1 <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 /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> 9 <br />