Laserfiche WebLink
s�s-�ao-oozo City of Zephyrhills Permit Application Fax-613-760-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin – <br /> Owner's Name ` �t , t r�( Owne� Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Slmpie Titleholder Name � Owner Phone Number �— <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS 1`/ ( Q K�� l� p � LOT # � <br /> SUBDIVISION � , PARCEL ID# <br /> (OBTAINED FROIM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF C�NSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> `( ,(�� / /� <br /> DESCRIPTION OF WORK v .Y�(4 C/� Re r C.l ✓I 1` 4 �ivl <br /> �!N / <br /> BUILDING SI2E �— �QFOOTAGE �D HEIGHT (� <br /> QBUILDING $ Q � 0 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY (M C f�C� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �.�� G c'"q �-/(J� License # � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 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 REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # � —� <br /> OTHER COMPANY <br /> SIGNATURE , Re�is�Reo Y/ N FEE CURRE� Y/ N <br /> Address License # r � <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, Constructlon Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of Energy Forms. R-O-W Permit for new consUuction. <br /> Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster. $ite Work Pertnit for all new projects. All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Confractor sign back of applicatlon, notarized <br /> If over s2500, a Notice of Commencement is requlred. (A/C upgrades over a7500) <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 ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />