Laserfiche WebLink
C 3 -780 -0020 City of Zephyrhills Permit Appilcation ., / //-- �. <br /> Building Department 1(('6 <br /> Date Received .- 2a -1 0 -V� p C9 ds T <br /> ,�,,n Phone Contact for Permitting 8')•3 Oc�- - li <br /> Owner's Name / Q U I Y ` " ` G l h ( s a i r \ Owner Phone Number ' i 3 - 7j a q q i <br /> Owner's Address 3`) y ?, 3 °) Styr( Owner Phone Number <br /> Fee Simple Titleholder Name , "f //+ Owner Phone Number <br /> Fee Simple Titleholder Address V1 1 <br /> JOB ADDRESS 39 I d 3 9i` 3 kE.d LOT # l� <br /> SUBDIVISION S PARCEL ID# j d - a, o at-o3 (V( (20000 -• 0/5 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT ( I SIGN n MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 ( COMM I OTHER <br /> TYPE OF CONSTRUCTION ( I BLOCK [1 FRAME n STEEL n OTHER <br /> 1 <br /> DESCRIPTION OF WORK N t cJ n OOb AY. \ <br /> BUILDING SIZE SQ FOOTAGE V HEIGHT <br /> BUILDING $ 1 ,3 r1 ^� VALUATION OF TOTAL CONSTRUCTION <br /> s� . <br /> ELECTRICAL $ AMP SERVICE 1 ( PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS n ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F nNO <br /> / • <br /> BUI �' COMP ANY f O( tc� vC1 c1/�ttiC . TURF 4 C� kUOS <br /> REGISTERED Y / N FEE CYIRRENT Y / N <br /> Address ej i - (j 1 A '2 (4 ,3 3 Ski 1 License # 1c CL D 5?/3 4- / <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT Y/ N <br /> Address License # I <br /> • <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N i FEE CURRENT � Y/N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <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 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 />