Laserfiche WebLink
��� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received ,� -�� Phone Contact for Permitting _ <br /> � <br /> Owner's Name .� i� �q � � Owner Phane Number <br /> Owner's Address C� � y� J� �T Z�� l�s Owner Phone Number <br /> Fee 5imple Titleholder Name Owner Phone Number � <br /> Fee Simple Titlehotder Address <br /> JOB ADDRESS �� � 7 r 3� 5�. z� i(� S � LOT # � <br /> SUBDIVISION -� , PARCEL ID# � I' z�o ^ Z - Oal O d� o a°- b� � e� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK '�a � ,6 S �, p �� � G y�� !/�.�es�t <br /> BUILDING SIZE C SQ FOOTAGE �� HEIGHT = ` <br /> OBUILDING $ � �. � VALUATION OF TOTAL CONSTRUCTIO __ ��I � <br /> QELECTRICAL $ AMP SERVICE Q P GRESS E GY W.R.E.C. <br /> QPLUMBING $ I % <br /> QMECHANIC�L $ VALUATION OF MECHANICAL INSTALLA ION � / <br /> 1f <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address C ' License # <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/ N <br /> Address C 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 � License # <br /> OTHER - �is�? "Oo COMPANY . ��QC�l� rf � �d ° � �' <br /> SIGNATURE ���� REGISTERED Y/ N FEE CURRE� Y I N <br /> Address j-� ���)( 1 ��� �` G, �h�i 1�� �3 � 7 L License # � C' ��.S 7 f'S� <br /> RESIDENTIA� Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W PeRnit for new construc6on, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit fo� subdivisions/large projects <br /> COMMERCIAL Att:ach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Miriimum 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 commerciat 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 8 Contractor sign back of applfcation, notarized <br /> If over $2500, a Notice of Commencement is requlred. (A/C upgrades ove� 57500) <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 />