Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application loo Fax-813-780-0021 <br /> Building Department .f loo 2- <br /> Date Received -~ 2 — Phone Contact for Permitting 0 / 7 -- sK5 <br /> Owner's Name TO / Re, BeFI / Owner Phone Number <br /> T <br /> Owner's Address / 3 9 [ 7 / / e-e-_ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address q <br /> JOB ADDRESS 4 / 3 -.4 ST. LOT # <br /> SUBDIVISION PARCEL ID# I - -11_evd--c:4==6";x: <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED WI NEW CONSTR ADD /ALT I 1 SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME 1 1 STEEL n OTHER <br /> DESCRIPTION OF WORK S 7 iczol 6'--s / - �- P <br /> BUILDING SIZE /d X l.-. SQ FOOTAGE /oC © HEIGHT / <br /> BUILDING $ a S /e!:), ©--- VALUATION OF TOTAL CONSTRUCTION <br /> 1 ( ELECTRICAL $ AMP SERVICE ( 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> \ \ 1 061 <br /> PLUMBING $ <br /> c:} <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION e. / <br /> 1'v <br /> GAS I I ROOFING 1 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES FIN() C <br /> \.A., • J,' Z �l ! L , j <br /> BUILDER J C- 47 / 1/445-4 COMPANY L' ,k7'e.p 2470 0 r» Qs <br /> SIGNATURE �j 1 REGISTERED ( Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <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 />