Laserfiche WebLink
u,�-�nu-uuzu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin %�- r �2 c`f _� z 6d' <br /> Owner's Name / �..� Q � � /'✓ � i.� U� l�� Owner Phone Number � � 3 � �� � ` -�'� � `/ <br /> Owner's Address � ?.Sd � L� /Ll � �� ' ��1� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 7.5�� � / G�- ���` • �O �-� Zf-�i� /t �< <l�'>� �� <br /> LOT # �� <br /> SUBDIVISION ���d�� I�4�/Z�aN.s , PARCELID# 2� � S �`1� v��a OOG �,lio� �ns''v <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 �- �'� ��-�/� U' �L!/ f� �l ��.6 /�� <br /> BUILDING SIZE �--� SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> [�MECHANICAL $ L �� a � � VALUATION OF MECHANICAL INSTALLATION <br /> ��- <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add�ess ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL � i1,�s COMPANY .S ��/��j� � ��'� � <br /> SIGNATURE ''��° REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ��� �'IE.',/j /�/L-• �, G�f �17/i� • /`Cw License # �� � � ) � s� � Ya � <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 Pians; (1) set of Energy FoRns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Requfred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 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 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 & 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 /> Dlrections: <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 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 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 /> . . , t. .. ,. . � <br /> . <br /> , �`e � , <br /> � . . „ <br />