Laserfiche WebLink
813 - 780 -0020 City of Zephyrhills Permit Application id.zi7d x -813- 780 -0021 <br /> ,�� ff 4W Building Department 7 <br /> Date Received CJ <br /> ` 9 Phone Contact for Permitting Km al -- 17 3 I /VI <br /> 1I111IIIIi11IIILLIU° - --- <br /> Owner's Name Ficf1tga fljld r c' g t,1 e &, L e Owner Phone Number 1/7_ 716 - 977" <br /> Owner's Address ... 115 ,Ji ar2k1 1 54 2ep A. fl,iLs r L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> '3811P / - 3 g //7 tl9.9,1 ,e/ S ...2,,e4 <.t t /1 ;CLc FL 3 ? 51/ a- LOT # <br /> SUBDIVISION PARCEL ID# () 2- 24- i-1 - 000 0 - v 5 "co 0 --e-f-) ZO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION r BLOCK [] FRAME n STEEL n OTHER 1 1 <br /> DESCRIPTION OF WORK if. kUp t Ai i 41 ma d g; „„ / m ,, ce Nil 46 1 P d/ a, W.p Li <br /> BUILDING SIZE 2L/7 dt a S F-A SQ FOOTAGE HEIGHT / Sice <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> E PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANIC ' INSTALLATION <br /> I 1 GAS I 1 ROOFING l SPECIALTY n OTHER , / 7 D 0� d <br /> l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES jill. NO <br /> BUILDER COMPANY <br /> SIGNATURE R EGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address 1 License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I I License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Address (° License # <br /> OTHER 0 COMPANY ""V � - 7R niw y J-i <br /> SIGNATURE z-rnsu . /G REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N I <br /> Address ,R4 • /4/14.,_) ¢21i0 0,Q Ali )L 336 5' 7 License # e CC i ? 7 / <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 /> OVE TER 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 />