Laserfiche WebLink
813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department j/ ((( q' �1 <br /> Date Received I - I i —IV /3 t .f .4P7 f4..\ r Phone Contact for Permittin e I <br /> Owner's Name G. Frajc..A. Owner Phone Number <br /> Owner's Address 3 71 33 L,''y lJ 4 4 Ve Owner Phone Number <br /> Fee Simple Titleholder Name / Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37s.J3 L rI' 1 ‘ l4 4 V LOT# 25o <br /> SUBDIVISION 1 40.....1 No „ t.,.), PARCELID# 7Y 7 t 21-0170. 000 00 -.?s00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 11 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION i 1 BLOCK I I FRAME 1 1 STEEL I I 1 I <br /> DESCRIPTION OF WORK t . t.I„ w i e/ /y.iti,.) 1;1., 'de .62 e - 7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ■• I (BUILDING $ o <br /> 3 ( 0 VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> (PLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ( (GAS 1 1 ROOFING n SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO <br /> BUILDER *;17:-j COMPANY ' *4d h/ Z- V a . d, <br /> SIGNATURE REGISTERED r©. FEE CURREIN ` j <br /> Address S'q/ /1 iski ri, �r, * 4 , -/� License # XCc 3//5 9 y ' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREIN I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 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) 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 />