Laserfiche WebLink
s�a-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recetved �j' I� Phone Contact for Permittln — <br /> Owner's Name � a � �- Owner Phone Number U� 3' ��� ��� <br /> Owner's Address � d�� ��, �� 1 1/ Owaer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� 6 � / GY.y► � I h . �✓� LOT # � � � <br /> SUBDIVISION �-- S't �PAR � L ID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � C�_ f' � ���� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ °� � <br /> � � �' � 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 /> 1' � l <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � BUILDER I � ) ( y�o �' COMPANY ^ cr7'n.0� !�"GU72.2/�/ <br /> SIGNATURE � "' '"� `� � ���' REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ` License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # r <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address Llcense # <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # --� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit fo� 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 subdivisions/large 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 construction. <br /> Minlmum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sflt Fence installed, <br /> Sanitary FaciliUes & 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 construcUon. <br /> Directions: <br /> Fill out application comp�etely. <br /> Owner & Confractor sign back of application, notarized <br /> If over s2500, a Notice of Commencement Is required. (AIC upgrades over 57500) <br /> " Agent (for the contractor) or Power af 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 Servlce Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />