Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department / / 1 06 5 <br /> • <br /> Date Received •/ V - 7 /� <br /> Phone Contact for Permtttin 2/ <br /> Owner's Name I et- Owner Phone Number &. - l 'l ZZ <br /> Owner's Address I s 7 / 7 RJR /'{r"/ !) U 1 s J I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J� <br /> JOB ADDRESS 3 ?rel./ Y' / ' e Pies -C LOT* 1 9 <br /> SUBDIVISION Raj / Ps PARCEL ID# I ,,2 - a 6 - C C 3c - D CC f10 0/70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED = NEW CONSTR I I ADD /ALT I I SIGN fl n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 0 COMM fl OTHER i'y <br /> TYPE OF CONSTRUCTION n BLOCK fl FRAME 1 I STEEL E 1 <br /> s <br /> DESCRIPTION OF WORK 4.-. ,a h <br /> BUILDING SIZE 1 P4/X30 SQ FOOTAGE I 0 I HEIGHT I I <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION /5 77 10 <br /> EELECTRICAL IS AMP SERVICE n PROGRESS ENERGY Q W.R.E.C. <br /> E PLUMBING IS <br /> I— ( MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> EGAS n ROOFING Q SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA EYES NO <br /> BUILDER 10 1 / COMPANY I w L <br /> SIGNATURE / REGISTERED I Y/ N ( FEE CURREN I Y/ N I <br /> Address I , 7 7 9 % ;L/ ri /1 e S S`f 1 License # I l <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y / N ( FEE CURREN ( Y / N <br /> Address 1 1 License # 1 <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N ( FEE CURREN Y/ N I <br /> Address I 1 License # I <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED Y/ N ' FEE CURREN I Y/ N I <br /> Address I License it I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ( ( Y / N FEE CURREN Y/ N I <br /> Address I 1 License* I <br /> 111111111111111111111111111111111111111111111111111111111111111111 <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 /> tion. <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. INC upgrades over $7500) <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 if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />