Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department - 'qq3 V <br /> • <br /> Date Received A I_ . j -0 • Pho - Contact for Permitting <br /> Owner's Na - X0/14) (II 5. 1i/t )FS L- L Owner Phone Number 36 4 1"1 <br /> Owner's • . dress ( 3 9saa e 4 2 i dT c- N6 Owner Phone Number <br /> I <br /> Fee Simple 1 \itleholder Name Owner Phone Number <br /> Fee Simple Title !der Address <br /> JOB ADDRESS __ C)4i421�T LA l' /3/in t e 3 , S�`� LOT # <br /> SUBDIVISION PARCEL ID# ''1 - 2(0-24-000- ( OO - O Q e <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT h SIGN I I MOVE I I DEMOLISH <br /> 4 INSTALL REPAIR <br /> PROPOSED USE -1 lirl SFR I 1 COMM I I OTHER I S/i/G 3 51 1A(‘ I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I 1 FRAME I I STEEL 1 I OTHER I I <br /> Sro 21R� -e- <br /> DESCRIPTION OF WORK ?Z 't r6 ? 42A- -F A Q --SW P PCB A TT :c. 'PIZ"714 .i&- <br /> BUILDING SIZE 16 k / n SQ FOOTAGE /00 HEIGHT <br /> BUILDIN $ 420- VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> 71 PLUMBING $ ((� <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 I ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 <br /> V <br /> BUILDER , COMPANY VV,/rs6:Ot''- — <br /> lerSIGNATURE (� %� ��If REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # l <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 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. (NC 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />