Laserfiche WebLink
s�sasaoozo � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � �� phone Contact for Pertnittin — Y V <br /> TITr <br /> . e Ownera Name \ � l,t Owner Phone Number <br /> � �r� <br /> Awnefs Addreaa � �-c.7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � C 1 11 LOT #� <br /> SUBDIVISION �IVI,� a� PARCELID# ' � <br /> (OBTAtNED FROM PROPERTY Tl1% NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C I \ ` � �/`��1J <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT � <br /> Q BUILDING $� �`� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ , (/ti � � <br /> r , � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � SQ 1��' ✓ <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER , c, �� S� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� ` <br /> BUILDER � COMPANY �l/M�M CL'/6.i�.���jOAJ_ ��C � <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/ N <br /> � - <br /> Address License 1� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Addreas License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y( N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Add resa License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Addreaa License �F <br /> Illllltlllllllllillllllllltlllllllllllllllllllllllllltlllllllllllll <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buildinp Plans; (1) set of Energy Fortns; R-O-W Pertnit for �ew construction, <br /> Minimum ten (10) woilcing days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Fecilities 8 1 dumpster, Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fortns. R-O-W Pertnit for new construdion. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construdion Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Faalities & 1 dumpster Site Work Pertnit for all new projecls. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW canstruction. <br /> Dlrectiona: • <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (AfC upgrodes over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for lhe owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (Front of Application Ony) <br /> Reroofs if shingles Sewers Service Upgredes A/C Fences (PIaUSurvey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />