Laserfiche WebLink
813 - 780 -0020 City of Zephyrhills Permit Application i { ,. ) I 3 Fax -813- 780 -0021 <br /> Building Department <br /> Date Received /0 ""g(' _! Phone Contact for Permitting -- d ✓ <br /> Owner's Name A D nail C, , l.t#'71 z Owner Phone Number �/ .3 " 7 7 / — / 7O? '� <br /> Owner's Address )' C 3e. &;s 4-e r /a Pr/ ve- Owner (tone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 1 V.L eD 62:54er1 a- Pr /G'e.— I LOT # 35 <br /> //)) LL ' �a�/S PARCEL ID# :b6 °Z/ P/ ODDaO 0330 I <br /> SUBDIVISION N//[/ S�YI il9 I '5 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I)(I NEW CONSTR I X I ADD /ALT 1 1 SIGN 1 ( MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I ( SFR 1 1 COMM 1 ( OTHER <br /> TYPE OF CONSTRUCTION I XI BLOCK 1 1 FRAME 1 1 STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK 1 n IAr� - 70-v,Q-3P/ s <br /> BUILDING SIZE oZ / X c20 / SQ FOOTAGE -. 4O HEIGHT I p / I <br /> 1 ) (I BUILDING $ <br /> /0 / coo* 00 VALUATION OF TOTAL CONSTRUCTION <br /> 1 x I ELECTRICAL $ <br /> 50D: 00 AMP SERVICE 1 1 PROGRESS ENERGY ( I W.R.E.C. <br /> 1 PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> E GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD,NE AREA 1 1YES QNO <br /> BUILDER V �/� <br /> SIGNATURE Cj I REGISTERED j Y/ N I FEE CURRENT 1 Y/ N <br /> Address f�3/J Win! 1)i^/�4� �J � License # <br /> ELECTRICIAN COMPANY 0 <br /> SIGNATURE 10/ G , REGISTERED I Y/ N I FEE C ENT I Y/ N 1 <br /> Address 7-6 3o -lei-1,z_ !//"%12e_ License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # F <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..needs ROW <br />