Laserfiche WebLink
$�s-�SO-oozu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' 1 � � � _ <br /> Phone Contact for Permittin <br /> Owner's Name I�y1 l�'1 p/J ���,. Owner Phone Number � --�'j�j '�� <br /> Owner's Address � fp q IPG ,��� �, � Owner Phone Number <br /> Fee Simple Titleholder Name N(�T� � Owner Phone Number �— —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c � � U� . LOT # �� <br /> / <br /> SUBDIVISION PARCEL ID# , 'a 5`�.' D � J� � _(� ( <br /> (OBTAINED O PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK �WS`��-�. l�tc..{ �� �� �j'eN �• C����yG. , - �(n L � �p <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> ILDING $ VALUATION OF TOTAL CO RUCTION °� <br /> � c�c�ct�. � <br /> --- -- ----�" <br /> QELECTRICAL $ AMP SERVICE E$S ENERG�L--� 111�R.E.C. <br /> PLUMBING � <br /> � $ / �� `-� � / <br /> � � d" <br /> � <br /> OMECHANiCAL $ VALUATION OF MECHANICAL INSTALLATI N - <br /> � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> � . <br /> BUILDER COMPANY ("n"j � �fJ '��- • <br /> SIGNATURE REGISTERED N F CUR E� Y/ <br /> Address �j� �G ry �n.! • �� � 7�j License # ���� � <br /> ELECTRICIAN ,_ � COMPANY Y�r11�CS � -yv �l <br /> SIGNATURE � REGISTER�D N FEE CURR � Y/ N <br /> Address & r � j N � � w " !-C , b"a 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 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 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 Pertnit 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 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter fram 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 />