Laserfiche WebLink
.11f3 ql <br /> 813 - 780• -0020 City of Zephyrhills Permit Application Fax -813- 780 4021 <br /> Building Department ^� <br /> bit/ <br /> Date Received r. , w� <br /> I <br /> -0 Phone Contact for Permitting 7 . - .53 , <br /> or y <br /> Owner's Nam, „4j ( L s/dj' /!✓6� <4e - .. r . 0 /✓ 7�3' //7 <br /> Owner Phone Number „ ram124 7 <br /> Owner's Address 37767 V ,t60/e/tz',QT,S GAT' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address `. <br /> JOB ADDRESS ?7pi7 / //rL' / r 9 /Z-ATS l'T, T ' <br /> LOT # <br /> SUBDIVISION PARCEL ID# N-aS- 2/- l>OaJ %/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ,'l= NEW CONSTR ADD /ALT n SIGN MOVE n DEMOLISH <br /> �� INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION 1 BLOCK I I FRAME 1 I STEEL n OTHER I <br /> DESCRIPTION OF WORK / r c '4- 516„lS 27 %7 5/' 17 4./7- 04/7/5tC ' Xr I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 4 - a BUILDING $ � <br /> VALUATION OF TOTAL CONSTRUCTIO ✓ l C,/,5 O d <br /> I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION t� j J` /c� <br /> � <br /> I I GAS I I ROOFING I I SPECIALTY I OTHER // ( ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA T YES nNO <br /> A w` ` � / <br /> BUILDER 1 ' r ■ / I i t <br /> COMPANY I4 /72`x N 177eA //e s%G.,/f4 Ze/es/ O/2/' <br /> V <br /> SIGNATURE <br /> REGISTERED / N FEE CURRENT N A LIT <br /> Or <br /> Address VGt3/ �/)L�if ' / , $ 6 fi, ,7/7?? License # I Qc ckJc7 <br /> ELECTRICIAN L � COMPANY <br /> SIGNATURE ., j'..J REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N I <br /> Address [ License # <br /> PLUMBER <br /> / ('/ ,� COMPANY <br /> SIGNATURE REGISTERED Y / N FEE CURRENT <br /> I I I Y / N I <br /> Address [ <br /> License # <br /> MECHANICAL �' / COMPANY <br /> SIGNATURE /- ^ REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> • <br /> OTHER I A4 COMPANY <br /> SIGNATURE L REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address r License # 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 /> tiliftEH titl ltlff ftl€f t€ Iff € lifil y J. mi.: ,: :•,1:17::1, Nt. <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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />