Laserfiche WebLink
813 - 780 -0o20 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department - 4 HO /i Z (` <br /> ��( <br /> Date Received 0 L' <br /> Phone Contact for Permitting r (; _ . lQ <br /> • <br /> Owner's Name - t AM-0- e Itut_ a C. , Owner Phone Number — y4- / /z7,3 <br /> Owner's Address V tel 7 1.e )c-- Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ' Y/7 6 M` /yam' Z p 4, / ,c/ LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 4 ADD /ALT I I SIGN I] I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE -I SFR pi COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 I �1 BLOCK I FRAME 1 I STEEL I1 1 I <br /> DESCRIPTION OF WORK '/I'1G- ' 3 ion M &1/2,/ /o 1-5 C 'ice' U/'x1-', <br /> BUILDING SIZE I I SQ FOOTAGE HEIGHT <br /> I 'BUILDING Is I <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I (ELECTRICAL I$ I AMP SERVICE I 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> IPLUMBING I$ I <br /> I (MECHANICAL I$L7 �� I VALUATION OF MECHANICAL INSTALLATION <br /> I 'GAS I 1 ROOFING I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA 1 'YES NO <br /> BUILDER I <br /> I COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREIN Y / N <br /> I I I I <br /> Address 1 License # <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE I REGISTERED Y / N FEE CURRE <br /> I I � I Y / N I <br /> Address I <br /> 1 License # <br /> PLUMBER <br /> I COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREb 1 Y/ N I <br /> Address I I License # <br /> M nad4,11/0 I � COMPANY A ) A4 �L4 1 7 4/; /Da � � f <br /> REGISTERED 1 Y/ N Ef I Y / N I �� / J �' FEE CURR �. <br /> Address 1 License # <br /> OTHER I COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I <br /> 1 License # I <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 $7500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />