Laserfiche WebLink
81 3 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> ID <br /> Building Department <br /> Date Received �J / ,g ✓ Phone Contact for Permitting 35.. 5,2 -- 4q 7 <br /> Owner's Name at i -' ri G+ir I Owner Phone Number 81 G 6 l "0 l f <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address j`�� <br /> JOB ADDRESS 3 4 z' I eA y ` b h ) (fie- LOT # <br /> ` fir <br /> SUBDIVISION V 4,. yV tJ QL PARCEL ID# 1 0- /- A t - 0 l 0 0 0 00 6 -- 0 lc <br /> J (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED i NEW CONSTR / ADD /ALT [( SIGN 1 I MOVE [ DEMOLISH <br /> INSTALL t/ REPAIR <br /> PROPOSED USE ( I SFR I 1 COMM I OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 I FRAME n STEEL I I OTHER DESCRIPTION OF WORK /7 /(1' _ 2 . 2c <br /> BUILDING SIZE SQ FOOTA HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY ( - I W.R.E.C. <br /> I I PLUMBING $ / ` <br /> V MECHANICAL J • :/( <br /> I I $ 3'7 � D � 0 VALUATION OF MECHANICAL INSTALLATION r . <br /> I I GAS I 1 ROOFING I 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY tiYI s 4 10.- 1.b1 <br /> SIGNATURE l <br /> REGISTERED I Y/ N I FEE CURRENT ( Y/ N i l <br /> Address I 32. tiLc NIA/1/ i — b. t! - License # 1 ACC) 5 g 5 75 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # P <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />