Laserfiche WebLink
ais-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � . Building Department <br /> Date Received Phone Contact for Permittin Ur3 ,� �� — 1 ? <br /> Owner's Name Owner Phone Number �� lO/ <br /> Owner's Address �2 �, r . 3� � Owner Phone Number _� <br /> Fee Simple Tltleholder Name � Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � rZ�� ZE � r� �L ����t'Z LOT # � <br /> SUBDIVISION , PARCEL ID# �� � Z — Z. �— OOI� O O 3 r-� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �j SFR Q COMM 0 OTHER O v� L <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��� ��� � W rv�I�J i ,,S �y— � S(�l i ��p� <br /> BUILDING SIZE �— SQ FOOTAGE /?d HE�GHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � O�O.► �=- <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �C� („ <br /> ��� <br /> I 'f' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER � . ��� COMPANY / 0 <br /> SIGNATURE REGISTERED N FEE CURRE� N <br /> Address �0. �a o� j / �'q� � °� �3 7 �O 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, ConsVuction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Wotk Permit for subdivisionsllarge 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, Construc8on 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 construcUon. <br /> �rtr����������i������r.�� <br /> `+ { I �ii I Liii I I I L�iJ1� I a I J.I.LLIi <br /> Duections. <br /> Fill out application completely. <br /> Owner 8 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 from owner authorizing same <br /> OVER THE COUNTER PERII�ITTING (Front of ApplicaBon 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 />