Laserfiche WebLink
813-780-OOZO City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received / � ��`r phone Contact for Permitting /,� j77� -- �O �,�y <br /> Owner's Name CfT (��G� � Owner Phone Number /�— �� — ��9� <br /> Owner's Address p� � (1� � LGji7 � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Add�ess <br /> JOB ADDRESS 3 � � � � �(/� � /7 �l�G 1 {� • LOT # � <br /> SUBDIVISION � PARCEL ID# V� �� "� l�•Q�,j(� Q' ,3�Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK � FRAME Q STEEL � OTHER <br /> DESCRIPTION OF WORK '{�e C+�ICt� �'� ,��5{� �� ►�CvlC� �2 (3 A { � l . <br /> BUILD�NG SIZE �_ SQ FOOTAGE HEIGHT <br /> 0 BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL ($ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> PLUMBING � <br /> � � /Z �/� <br /> � MECHANICAL $ 35 �� ` <j VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA OYES ONO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/ N <br /> Address Ucense # � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ 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 �L T`�-�- R /� � � • <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y! N <br /> Address �� !- 1�'y Q , � r ` `3 �j �(Z „ License # l� 64� ( � < <-(( � (� . � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � � <br /> RESID�N7IAL 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 & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of E�ergy 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 inslalled, <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 /> Direclions: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> IF over $2500, a Notice of Commencement is required. (AIC upgrades over $5000) <br /> '* Agent (for the contractor) or Power of Attorney (for the owner) would 6e someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A!C Fences (PIoUSurveylFootage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />