Laserfiche WebLink
^ ' 3 -780 -0020 City of Zephyrhills Permit Application <br /> Building Department ( 77 (.( <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name 1 h orY1C S / L.1 Y1 G' A CY1 Owner Phone Number 31 1 8 Z - is 09 <br /> Owner's Address a , e)c-k 4 T` Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 8 4 ( - `-1 $'-1 L C . She± LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR <br /> INSTALL ADD /ALT n SIGN ( I MOVE ( ( DEMOLISH <br /> REPAIR <br /> PROPOSED USE n SFR I ( COMM I ✓I OTHER I IR e r✓ a o� <br /> TYPE OF CONSTRUCTION I ( BLOCK I I FRAME I I STEEL n OTHER <br /> DESCRIPTION OF WORK �,✓ r Oc� "" <br /> d tot._ P <br /> BUILDING SIZE SQ FOOTAGE Z1 0 0 HEIGHT <br /> I ( BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ( 1 ELECTRICAL $ AMP SERVICE ( ( PROGRESS ENERGY ( W.R.E.C. <br /> I PLUMBING $ <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS M ROOFING ( I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES r NO <br /> BUI . COMPANY app €-1 06c <br /> TORE Y ` REGISTERED I ¥/ N I FEE CURRENT 1 YIN ( <br /> c� <br /> Address C (7 1 G wci z1 h► \ LS License # I CC-C. 0 SS t 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED ( Y/ N I FEE CURRENT ( YIN l <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ( FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED ( Y / N ( FEE CURRENT ( Y / N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ( Y / N ( FEE CURRENT ( 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) 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 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 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />