Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department 3 ?A <br /> - <br /> Date Received 7- 7-09 <br /> Phone Contact for Permitting -- <br /> 1IIIrII1111111I LL LY <br /> Owner's Name 4 74/ 1/4 / R( 1( / ( / -/r -CA { Owner Phone Number 66 - s f 3' a 7� s <br /> Owner's Address 382 2 1 v._ <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 3 JOB ADDRESS 2 a1 21, 13- iluc_ Ze p 1- y c H I I is Ft 33S (4 Z LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN 1 1 MOVE ( 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I `o, 1 SFR 1 I COMM n OTHER I Sc YeCN s H 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME n STEEL I OTHER 1 <br /> DESCRIPTION OF WORK - c re (Zov t - / U f ( 2 f)e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ `00 . UU VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES I NO <br /> BUILDER 1 COMPANY )- ov IE Qw rl � ,r <br /> rer <br /> SIGNATURE v REGISTERED ( Y / N 1 FEE CURRENT I Y / N ' <br /> Address l/1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I 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 I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N 1 <br /> Address <br /> 1 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />