Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> Date Received r — -- Phone Contact for Permittin• -- <br /> Owner's Name J l � � /Vl n, A.1 L LJ <= k L Owner Phone Number �$ 13 's' 3 23 2 2. <br /> Owner's Address ° 9 ( (9 /L. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LOT # <br /> SUBDIVISION „//) ' / PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION l I BLOCK 1 1 FRAME I I STEEL 1 1 OTHER I <br /> DESCRIPTION OF WORK , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ / 17 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVIR I 1 PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ 11/ <br /> /� / /3g <br /> v <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS 1 1 ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 'NO <br /> BUILDER ° COMPANY ZAA CdrA C <br /> SIGNATURE C SC •�/ � REGISTERED (/ N I FEnIRRENT <br /> Address tO /v /D �k 3 ' 4G D t f License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N J FEE CURRENT I Y/ N I <br /> • <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # r <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <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. (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 />