Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> • Building Department <br /> Date Received F () Phone Contact for Permittin. -- <br /> Owner's Name 7)1 l r r$ m /] r /1 Owner Phone Number O 3 _ 7,JU -6 7 <br /> Owner's Address 7 /50 /95/4 L 19wr/ ,/2p Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address // / <br /> JOB ADDRESS — 7 /50 / 7.S/) L KI2 i /J r LOT # <br /> SUBDIVISION PARCEL ID# 3 , - 5 - ` 005o -Ci000 -0370 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR n ADD /ALT 1 SIGN n 1 1 DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE n SFR n COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME I 1 STEEL / n <br /> DESCRIPTION OF WORK S /0 A' S / C /6 Seer , '4eeP"I S'/ f7er' o L C' to <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 (PLUMBING $ <br /> ✓jMECHANICAL $ 0 0 VALUATION OF MECHANICAL INSTALLATION <br /> 57 So <br /> nGAS n ROOFING n SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N i <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN i Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY / G G /,/27Pri (CIy 7'/ " <br /> SIGNATURE , JJ / / REGISTERED I Y/ N 1 FEE CURREN I Y N I <br /> Address IP(%j G /Dc )O y 7 / &V,q / L 3.I /4' License# I �/` /9000 ? /b <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N <br /> Address 1 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 $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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />