Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received —� ��� Phone Contact for Pertnittin D�.3 7 V a —�� �i 7 <br /> ' OwneY's Name � � Owner Phone Number <br /> • owners /►ddresa 3�154�} ,( I �V � Owner Phone Number <br /> Fea Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3�54 �V� LOTN o <br /> SUBDIVISION � 19�,r� 1't0'('1�01^.� PARCEL IDA� 3 7�o�'C�� � l — bQ QQ — a <br /> (OBTAINED FROM VROPERTV TAX NOTICE� <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK V j . <br /> BUILDING SIZE S� FOOTAGE � HEIGHT � <br /> BUILDING ` �A�, $ VALUATION OF TOTAL CONSTRUCTION <br /> IV ` ' <br /> ELECTRICAL $ IaUO •V� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��� � � <br /> L � I^`� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FiNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER /y ���� ��� � COMPANY �7� �%D/1S r C�llO/1 <br /> SIGNATURE � REGISTERED V/ N FEE CURRE� Y/ N <br /> Address �0 PI /`I � License # e� �� ` p a— <br /> ELECTRICIAN /A„ / � ` COMPANY ��OrT E/� —� <br /> SIGNATURE �u���"� REGISTERED Y/ N FEE CURREP Y/ N <br /> Address �3G90� E�/�1►�� �l✓t� ucense# E D S <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address l.icense # �—� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N <br /> ��� Licensa # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> IIIIIIIIIIIIIt <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-0-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Conshuction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 6 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 Fortns. R-0-W Pertnit 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 8 1 dumpster Site Work Permit fa all new pro�ects. All commercial requirements musl meet compliance <br /> SIGN PERMIT Attach (2) sets W Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrections. • <br /> Fill out application completely <br /> Owner & Contractor sign back M application, notarized <br /> H ovar 52500, a Notice of Commencemant is required. (MC upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authwiang same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> RerooTS if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/FOOtage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />