10-10270 - Laserfiche WebLink

Browse Search

813- 780 -0020 City of Zephyrhills Hermit Application rax -o 13- rnu -uuz Building Department Date Received --7 J~ �3 0 Phon Contact for Permitting [ •� -- if ° __ Owner's Name Sc t l t (,t S (A...4/ If i" # 010 vex F1'I i (av .ect2- ✓100 -Owner Phone Number ?g1 (00 1 - i 7 5 Owner's Address .)v$ 1 A'Q i\1' 9 b►' t V ° Q > 304 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS -j CA_Vn LOT # SUBDIVISION PARCEL ID# G� — D1 ,_ ' oNn ( -o d (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT rill §kGN 1 1 MOVE 1 1 DEMOLISH. INSTALL REPAIR ti- PROPOSED USE SFR I I - COMM I I OTHER TYPE OF CONSTRUCTION I X BLOCK I I FRAME I I STEEL I I OTHER' I DESCRIPTION OF WORK S '42'` f 0 (Qtr Si t _ d QC BUILDING SIZE SQ FOOTAGE L 30 HEIGHT BUILDING $ 2 35o 5o VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. • I 1 PLUMBING $ !it9 Q I` MECHANICAL $ VALUATION OF MECHANICAL INSLLATIO GAS ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES F INO ■ - .. - _ -- - - - -- -- - - - - - BUILDER COMPANY SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED • I Y/ N I FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address License # iTHER'` � . CO COMPANY kn )1 In SI' = ■,ll REGISTERED / N 1 n FEE CURRENT Y / N I UV Address 3643 s/ , ,Q -r awl S � / License# (CCIASSO5 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects 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. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. *** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A /C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW