Laserfiche WebLink
s�3-�ao-oo2o City of Zephyrhills Permit App(ication �- � ! <br /> Building Departmenf Fax 21 <br /> Date Rlceived � �-- � � ���� i <br /> �` � i � � Phone Contact for Permitting � 3 _ � � <br /> � <br /> Owner's Name ' <br /> �' 'p �Owner Phone Number ; � <br /> Owner's Address � fl — .� .- ' --�----� 1 <br /> �- Owner Phone Number I l <br /> Fee Simple Titleholder Name ----.1 <br /> Owner Phone Number � <br /> Fee Simpie TitleholderAddress � <br /> JOBADDRESS J���L°�� v �, `� ��, � <br /> LOT # <br /> SUBDIVIStON Gf'�,�� "" ��/�� �� f , pARCELID# S <br /> ZJ -� / - O� Z✓�-OOUv�.-,� �/� <br /> WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) j <br /> NEW C NSTR e ADD/ALT � SIGN � _ ' <br /> ' ALL REPAIR C�1 DEMOLISH I <br /> PROPOSED USE � SFR � <br /> TYPE OF CONSTRUCTION COMM C� OTHER <br /> [� BLOCK Q FRAME C� STEEL � <br /> DESCRIPTION OF WORK �,t,,, ) Tp 1� (��,� r I � <br /> Io�LT6� S�v�.�zy nepn� �s � c�� <br /> BUILDING SI2E <br /> SQ FOOTAGE HEIGHT <br /> �BUILDING $ ' <br /> VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $ i <br /> AMP SERVICE � PROGRESS ENERGY <br /> CI W.R.�.C. <br /> OP�UMBING $ <br /> I �MECHANICAL $ VAWATION OF MECHANICAL INSTALLATION <br /> I <br /> �GAS � ROOFING � SPECIALTY <br /> FINISHED FLOOR ELEVATIONS � OTHER � <br /> FLOOD ZONE AREA �YES Np ' <br /> I <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address � <br /> License # � — t� <br /> ELECTRICIAN , <br /> SIGNATURE COMPANY 1 <br /> REGISTERED Y/ N FEE CURRE� I <br /> Address <br /> Y/N <br /> License # ' <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # �� <br /> MECHANICAL <br /> 51GNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� I <br /> Address Y � N � <br /> License # <br /> )THER -� J/ � i� ' <br /> i1GNATURE '.''_ _ Y� COMPANY —"�� Z <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �'r'f 7 <br /> � �� License #�. � J � � 2 <br /> lESIDENTIAL 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 instalted, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> 'OMMERCIAL 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 insta�led, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> IGN PERMIT Attach (2) sets of Engineered Plans. ' <br /> '""PROPERTY SURVEY requlred for all NEW constructlon. <br /> (recttons: <br /> Fill out appl(cation completely. <br /> Owner 8 Contractor sign back of appl(cation, notarized � <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over a7500) � <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> �ER THE COUNTER PERMITTING (Front of Appiication Only) I <br /> �roofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pub�ic roadways..needs ROW I <br /> I <br />