Laserfiche WebLink
��s-�eU-��z� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Cate Received �— � � Phone Contact for Permittin � /� � � � .— � �� � � <br /> .-� _ - � / 4 - ,,.„ ,/ <br /> Owner's X• �'��'�� Owner Phone Number V (— �—�J *� <br /> �; ._— <br /> Owner's Address ,�r`� � �3 ��� , a `''�`�' ^ ' �'"�- 1 � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � <br /> JQB ADDRESS � � �.3 �I ►U 1� (= i� U u� P A2 �/-� � �2 � (d� t � �, �j � .�`�('� LOT # � � -� <br /> �_._ <br /> SUBDIVISION (/� e-P.�,� � � .� - � b �-�/ ��l �� o�OoDU�' U/Sl� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e 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 �c � � � � �IU/�- <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> BUILDING $✓ ��� � u VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ; ! � ^' �S <br /> ..i � Ii <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ) <br /> BUILDER ,��`� C � (�COMPANY �"�"��'"'� <br /> � SIGNATU r � �7t EGi ED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 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 8 1 dumpster; Site Work Pennit 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 8 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 s2500, a Notice of Commencement is required. (A/C upgrades over E7500) <br /> *` Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized fetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />