Laserfiche WebLink
813 - 780-0020 City of Zephyrhills Permit Application l�Lf�/ q ( Fax -813 - 780-0021 <br /> Budding Department 1 <br /> , Data Received I 1 p n — 3 - �� Phone Contact for Penning I ,I3' - 1917�n <br /> r 1 [ ^ <br /> Owner's Name I �/p t:Ll�d , f Owner Phone Number S�3 • 7VA • 0 p 77 <br /> Owner's Address 1 624.30 /7 f 1 V r � I Owner Phone Number <br /> Fee Simple Titleholder Name' I Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 Ca ?O ! 7 Ph_ S f LOT* c <br /> SUBDIVISION IPA K /6 7/ PARCEL ID# Ill i •. i ',_ " b .%/ - „/ — '1. T9 <br /> (OBTAMED FROM ..., • RTY TAX NOTICE) <br /> WORK PROPOSED �f NEW CONSTR I ADD /ALT n SIGN Q MOVE Q DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED USE n SFR ( I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK I 1 FRAME Q STEEL Q OTHER 1 <br /> • <br /> DESCRIPTION OF WORK Ike <br /> ia /A (a k S £.. ?o G D,C.sI... OA Ab(ntiXf <br /> BUILDING SIZE 1 SO FOOTAGE I HEIGHT I <br /> 5; BUILDING ($ .5 0A 1 VALUATION OF TOTAL CONSTRUCTION <br /> 1 ---- 1 ELECTRICAL I$ I AMP SERVICE I PROGRESS ENERGY n W.R.E.C. <br /> n PLUMBING 1$ I, <br /> n MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION ��C <br /> I I GAS I ROOFING n SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES fNO (94' <br /> BUILDER COMPANY <br /> SIGNATURE -------- REGISTERED � � r OEC CI R tE M Y, <br /> Address Vo lay ia 90 11)0 dd/( id,744 License* I <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address ( 1 License* 1 <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 1 License* I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y N I FEE CURRENT I Y/ N I <br /> Address I 1 License# I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License* I 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, Stonnwater 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, Stommwater Plans w/ Sid Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for ad 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 /> ■ <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 Attomey (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 NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />