Laserfiche WebLink
813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 If /7 () %!i!1 x/1.7 7 <br /> Building Department L/ <br /> Date Received Phone Contact for Permitting 1; <br /> r - <br /> Owner's Name A "4- / Q { - 4 / •b ` ex Owner Phone Number g 7 <br /> Owner's Address J X 409 L— /A.,7607/./ /tyke_ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> / /'� 1 <br /> JOB ADDRESS 3 / "N 0 v L 1 C b l fTv // Z Z 4& LOO ` ( to` J <br /> SUBDIVISION L . i L c D I I.d F�5 PARCEL ID# 1 Z Z W " 2 1 —' 000 c 0 '/O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN Ti MOVE n DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE i SFR n COMM i OTHER I <br /> TYPE OF CONSTRUCTION I BLOCK (l FRAME ( n STEEL [ 1 OTHER I <br /> DESCRIPTION OF WORK c ( / G /I! /y 2 • ` r Q 14. 5 !! kw <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> in BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ AMP SERVICE fi PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $ .") ° 1 VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES rINO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License it <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT f Y/ N I <br /> Address — License # <br /> MECHANICAL COMPANY K .J fs `1 l iVCi <br /> SIGNATURE Lib 1 ,G 5 (fi n REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N 1 �1 i <br /> dir <br /> Address IV& ,3 f b 1 L( &Z. _/ � T , ' License* C # x " w , ("1� w <br /> 6 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 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, Stonnwater 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 /> �.... w. �........... �...... ��..,.. w.... ��W.- .............. w......... �.. w.,.. w..,,.. ���w. w., w... w.,,......,. ......- ...w..w.,w..��..,,�....� w. �..... �....-. �.,.,. �...,. �. �.. w..,, ....,........�...�..- ...�..ww�. <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 />