Laserfiche WebLink
. sis-�ao-oozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> � . Building Department <br /> Date Rer.eived � — � / � s -- ��j � � �// r' � Y "` �J <br /> Phone Contact for Permittin <br /> r T - n r <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number �� /y ,! 1! <br /> ✓� <br /> Fee Simple TiUeholtlerName Owner Phone Number <br /> Fee Simple Tltleho�der Address <br /> JOB ADDRESS � O L �� I 4� . G �� /' LVT # � <br /> SUBDtVIS10N PARCEL IDq <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> � INSTALL e REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � Y (/�^��— �� �-Q- UC.. / �LC '! � � �} 'e (,� �/ � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> T <br /> �BiJiLDING $ VALUATION OF TOTAL CONSTRUCTION <br /> l <br /> T Q (� e �EI.ECTRlCAL $/�/ �, AMP SERVICE Q PROGRESS ENERGY Q W.R.E. ., <br /> Lvw Y'r71. �- �c <br /> C� .yL l�c.Ct �' ✓ d � (JD� �i <br /> PLUM8ING $ <br /> C� <br /> �PAECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO� <br /> C1GAS Q ROOFWG Q SPECIALTY Q OTHER <br /> FiNISHE D FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO^ � `� � j// O� <br /> , /`.:,�ST.?/� . � 1� . , <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License # �� <br /> ELECTRIGAN COMPANY � <br /> SIGNATUR£ � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License# �� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY � <br /> SIGNATURE � q� REO Y/ N FEE CURRE� Y! N <br /> Adtlress . License # �—� <br /> OTHER COMPANY /�I � lJ� � Z7OC / Q��PS <br /> SiGMATURE �^�� REGISTERED N FEE CURRE� N <br /> Address � / � � f!/ ,$ � . T /z' L ,�j ��00� license # G�� � 0�� S� � <br /> IIlIIIIII1111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTiA� Attach (2) Plot Plans; (2) sets of Bwlding Plans; (1) set of Energy Fortns; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days afler submittal date. Required onsite, ConsVuction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Wark Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Lrfe Safety Page; (1) set of Energy Fortns. R-O-W Pertnit for new construaion. <br /> Minimum ten (10) working days afler submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sa�ita'ry facilities & 1 dumpster Site Work Pertnit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engmeered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction <br /> Direcuons • <br /> Ftl! out application completely <br /> c�wner � Contractor sign back of application, notarized <br /> If over $2bOb, a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notanzed letter from owner authonnng same <br /> OVER THE COUNTER PERMITTING (Front of Appiication Only) <br /> Reroofs �f shmgles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />