Laserfiche WebLink
813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> /� ,� ✓� �� <br /> Building Department 4fq C. <br /> Date Received �$ ? r J � <br /> Phone Contact for Permitting 1 __ `'1,j 7 <br /> Owner's Name P4i'K 4. —T- 0 Y%-._ Owner Phone Number 5 j r' ' . 7 '9 -'3/57 <br /> Owner's Address 3? 5)09 at/..,_, Owner Phone Number X 3 - f l�.i /.Z <br /> Fee Simple Titleholder Name Owner Phone Number �i 3 F 74.1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 9 2 4: ' GC 0 yi4 -C?) Ls fie._ 355"'z LOT # <br /> SUBDIVISION PARCEL ID# ! 2. 2.(9 - 2-f -6796 I0000 -oo/ o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT pi SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE MP SFR I I COMM 11 OTHER I I <br /> TYPE OF CONSTRUCTION 1' BLOCK 1 1 FRAME 11 STEEL 1 I OTHER I I <br /> DESCRIPTION OF WORK C ) 0 SiJ1,4 J, y f, ,ems- C.:oar G clii,, <br /> BUILDING SIZE F4' /6 SQ FOOTAGE HEIGHT <br /> I I BUILDING �' <br /> $ 6 0 >�� -, VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ /dam S i AMP SERVICE 1 I PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES LINO <br /> „ <br /> BUILDER z��4.. :21'2.-° <br /> /117‘)/71e-, ��J C'J' COMPANY . ""i -- c5 �iS'c� �-~ <br /> SIGN ATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address] , lc 2 ‘ 4(1/ License # <br /> ELECTRICIAN ' '� � J � �'"`� COMPANY A ' 0 ` - � f v �' ( -- <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address 3 2702'' 6� .-----_ <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 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. (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 />