Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> � ��/ <br /> Date Received <br /> Phone Contact for Permitting <br /> ��/- 8/3 -8/ l- % 2 <br /> Owner's Name ; ,f�, 1 k ( r , Li et C C}< `7 P. S P <br /> Owner Phone ttiber <br /> Owner's Address 7 7d I PI ("V Ce n ! Ile r(r (=L ;• 3 3 =s Llt, Owner Phone Number <br /> Fee Stnple Titleholder Name Owner Phone Number <br /> Fee SimplaTitleholder Address <br /> JOB ADDRESS _ . 7 � 7 / M � ✓ll� rai t T V i lie ( { �P � Are ; I1 3 _s � L- 3 O LOT # <br /> ( irk) d 1,1 <br /> SUBDIVISION /PSJv 1-It CIS PARCEL <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I ADD /ALT I I SIGN El MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I ( SFR I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK ( I FRAME I I STEEL I I OTHER I v i D <br /> DESCRIPTION OF WORK S c /e e n ��n Cam- Y. U . R tr t 'Sk1 � cii <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> IM BUILDING c c7 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO <br /> 0.1111111M0116. ��titi f <br /> BUILDER � "�• ', I COMPANY V Ow' I <br /> SIGNATURE / , v REGISTERED [ Y / N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED l 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 I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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, 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 ROW <br />