Laserfiche WebLink
813-780 -0020 City of Zephyrhills Permit Application • ...• _ .- . -- - <br /> Building Department <br /> Date Received /7 j� 3 54 - (j// / <br /> ✓ � 7- 0 Phone Contact for Permittin a <br /> Owner's Name et t 6n 4 k i nn Owner Phone Number 8/ 3- '7g8 -- ‘ih 9 <br /> Owner's Address 5 Li3B /i3 S i Ze p\ h I a 5 Owner Phone Number <br /> Fee Simple Titleholder Name( Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS &AO 'e— LOT # <br /> SUBDIVISION PARCEL ID# 11 — (94/ -671 - 0010 -i y 51f0 JO 0 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT 1 1 SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR ( ( COMM I I OTHER i ' II , ► . i n "t► <br /> TYPE OF CONSTRUCTION n BLOCK 1 1 FRAME n STEEL n OTHER <br /> DESCRIPTION OF WORK Zi-p‘L3 -CP, 16 - ) -k/}T7 - E g‘-e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I I <br /> I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENER Y— . " #'_._,,-1. W.R.E.C. <br /> PLUMBING $ <br /> g 4 i � MECHANICAL $ py J. Q o® VALUATION OF MECHANICAL INSTALLATI N 0 <br /> GAS n / ROOFING 1 1 SPECIALTY n OTHER ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES n NO <br /> COMPANY 1 I <br /> SIGNATURE BUILDER REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # 1 I <br /> ELECTRICIAN COMPANY 1 I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 1 License # 1 I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY ISO uTi {f KIN.) 0...0 w `� 'T <br /> SIGNATURE ' - - REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 4 1 / K65-40 CO it B570 T1, .33? l( License # I CC. 1 &' q 13 S 7 1 <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 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 wl Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) 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 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 rApplication <br /> Reroofs Sewers Service Upgrades A/C Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />