Laserfiche WebLink
s�3-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> r � <br /> Date Received <br /> Phone Contact for Permittin -- <br /> Owner's Name � Owner Phone Number �� <br /> `/ �^ <br /> Owner's Address � 'D� Owner Phone Number <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37'�D � LOT # � <br /> SUBDIVISION wG���C.WQ� PARCELID# ID �(p� r`(��/�L7 ��O'�OI� <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q CaMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ��� �T ` CI�'�(�L `L�J� ',: <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ �/ ` VALUATION OF MECHANICAL INSTALLATION 'v �� <br /> 1� 6 <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 /> 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 �IGL/L(J IYIfi' OI'4� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � �!i 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 fo� new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> 8anitary Facilities 8 1 dumpster; Site Work Perm�t 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 consUuction. <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 ail NEW constructlon. <br /> Directions: <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;7500) <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 />