Laserfiche WebLink
813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received 0 <br /> Phone Contact for Permittin • — <br /> Owner's Name MINA rd tit, �,� �� _ - - Owner Phone Number' . /?-- // 7 -PIS <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> / <br /> JOB ADDRESS (Q ! C� if,&2.e_ g 4 LOT # / <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR EJ ADD /ALT I t SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I-I SFR 1 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK [1 FRAME I I STEEL n I <br /> 2 2'u DESCRPTION OF WORK /1)1 /t- i (z S �� L� �- C �G2f�u� <br /> r _ <br /> BUILDING SIZE SQ FOOTAGE) HEIGHT <br /> 1 'BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ AMP SERVICE (Z6 Ir " PROGRESS ENERGY 3Y n W.R.E.C. <br /> I (PLUMBING $ 1 ' <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLA ON I <br /> i <br /> 4 <br /> [—(GAS 1 1 ROOFING I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I - - -NO " l <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N . I FEE CURREIS I Y/ N I <br /> Address r' License # 1 I <br /> 7% <br /> ELECTRICIAN 'l�►� <br /> SIGNATURE l , COMPANY <br /> _A REGISTERED I Y/ N I FEE CURREP I Y/ N I <br /> Address Lt Al AIMP_ W License # I6....f 5i <br /> r <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREb I yin, I <br /> Address I 1 License # 1 I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREP I Y/ N I <br /> Address I 1 License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt I Y/ N I <br /> Address I 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 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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />