Laserfiche WebLink
' _ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780- <br /> , � Building Department � 3 ; 3 <br /> Date Received — / Phone Contact for Permitting -- <br /> �er's Name %y1� .. T Owner Phone Number Q °� <br /> =VK�lY2K\l.� 33��� � <br /> Owner's Address J� � Owner Phone Number <br /> Fee Simple Titleholder Name � i'�' Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �U ( I LOT # � <br /> Sl16DIVISION ?�_���,1HS W �.31�s--� PARCEL ID# � '. - ��- J J <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER ./¢.i; <br /> TYPE OFCONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � � � ,� _ � <br /> 1�,a.� ,-cc. <br /> BUILDING SIZE ` SQ FOOTAGE HEIGHT <br /> �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ��J � <br /> � ELECTRICAL �$ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> � <br /> � PLUMBING � � <br /> � MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION <br /> �„.. <br /> � <br /> � GAS Q� ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> 1 <br /> BUILDER � COMPANY rn�l ��� ��� _ _� <br /> SIGNATURE REGISTERED / N FEE CURR T Y N <br /> Address ��'[ � � ug �� LC�uQ G �) 3 3 License # I(�(, ��� `)v`� Z� <br /> ELECTRICIAN COMPANY ' <br /> SIGNATURE � REGISTERED Y I N FEE CURRENT Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � � <br /> MECHANICAL COMPANY <br /> �iNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SiviJilTUR'c '� ^EG;�TE��D Y; R F�E CURP.SNT Y/ N <br /> Address License # � — 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br /> Minimum ten (10) wQrking days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br /> COMMERCIAL Attach (3) sets of Building Plans, (1) set of Energy Forms. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities � 1 dumpster <br /> All commercial requirements must meet compliance. � <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> **'*PROPERTY SURVEY required for all NEW construction. <br /> .,�� <br /> rections: <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 $5000) <br /> " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of A�plication Only) •! ' <br /> Reroofs Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />