Laserfiche WebLink
813 -780 -0020 • City of Zephyrhills Permit Application Fax -813- 780 -0021 2\ <br /> 0--- Building Department - b Liu <br /> J <br /> Date Received ` - � i / 3 78a- -- Jb L/ <br /> Phone Contact for Perm <br /> Owner's Name Ny F',-q's.4./.C.. Owner Phone Number <br /> — <br /> Owner's Address G e 0 a ,., . _ _ • , A ,. Yl BS Owner Phone Number 1 <br /> S Ci NL8S 5 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> j .// <br /> JOB ADDRESS JWY lI � j( t .. ,, /.Q/" 4 ! G LOT # I 4 • <br /> SUBDIVISION /r/iti rig_ vN PARCEL ID# ZOe l6'a /'000D.AD,era- 4012 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> — <br /> WORK PROPOSED _ NEW CONSTR I J I ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION 1 BLOCK n FRAME I STEEL n OTHER I I <br /> DESCRIPTION OF WORK ,4 <br /> { Qr bc4 4-0Mr- �/ .1 d „ 4) roil O$ClJ WO !we.-- <br /> BUILDING SIZE SO FOOTAGE /a0 HEIGHT I I <br /> BUILDING $ 0��� ?S VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ O � AMP SERVICE In PROGRESS ENERGY FT W. R. E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 11 GAS n ROOFING O SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> SW <br /> BUILDER SIGNATURE ,r _ 1 a COMPANY Bi'HQDA/S7'L'ttwr�GK/ <br /> REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address J <br /> � � License IS 044/51 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address <br /> License it <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y( N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R - O - 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 onslte, 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 85000) <br /> Agent (for the contractor) or Power of Attomey (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 NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />