Laserfiche WebLink
s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> _ Building Department <br /> Date Received � Phone Contact for Permittin — <br /> Owner's Name � `v�� Owner Phone Number <br /> Owner's Address ' v � � � �� ��� �� � �� Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � �vC� � 7 � �/� ` ���1' LOT # �� <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAIHED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK x� +� - P���� �Z .' — ��' �'� - <br /> � � <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> BUILDING "� $���� ..% VALUATIO OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERV�CE Q PROGR NERGY Q W.R.E.C. <br /> Q PLUMBING $ — � � � `� <br /> / '7 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTAL TION � � � <br /> � <br /> QGAS Q ROOFING �PECIALTY Q 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER � �` �� COMPANY Y % <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address C� - �' /�� � . � �� � � � '�-�� � License # � ( <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction. <br /> Mlnimum ten (10) working days after submittal date. Required onsite, Construction Plans, StoRnwater Plans w/ Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster; Site Wor1c Permit for subdivlsionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Buildfng Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructlon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles 8� 1 dumpster. Site Work Permlt 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 consVuction. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer 8� Contractor sign back of application, notarized <br /> If over 52500, 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 Applfcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />