Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application i-ax- tsts- iau -uuz, <br /> Building Department 4 1 1 (0 6t5 <br /> Date ReceP'ed Phone Contact for Permittin. _ __ -- <br /> Owner's Name emu, lane. W , C,NNe�o�i q Th,T`'. k I ��(. = -i vt t' , ta Owner Phone Number 2 3 J., ` , 4 b 0 <br /> Owner's Address <br /> `6 9 '{ 5 3 'IL- k•J& 7.a a,, ris, U-, C3.5t 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> -D y , 4 5 - ),'''-4, � , " - & Y 1f V I a . L _ 2�'. `."_a `4� t - LOT # <br /> JOB ADDRESS t <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION i I BLOC FRAME l l I STEEL I I OTHER I <br /> DESCRIPTION OF WORK , ,in r �- f �C/ / / 7 (1) �'� 0 � j?ir 7 L L 4 Fay' F. <br /> BUILDING SIZE I FOOTAGE �/ ,. i HEIGHT <br /> I BUILDING $ / j� 0 , Da VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ !/ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> BUILDER �r COMPANY VP &'' 0 /V/'2 C <br /> r � <br /> SIGNATURE 9.1-A 20 / G►' n `i\ REGISTERED Y / N I FEE CURRENT I Y / N I <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />