Laserfiche WebLink
r �.�saso-oozo City of Zephyrhills F'ermit Application rax-n�a-��u-uuz, L / <br /> Building Department <br /> Date Received �� �_ phone Contact for Permittin - <br /> Owner's Name Owner Phone N4�ber � 0 7 - <br /> Owner's Address 3 a 10. c�, � � Owner Phone <br /> `Idumhe�-•--�-�- ------- --- - -- --`--- --- ---- <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # �� <br /> . <br /> SUBDIVISION �►'Yl C�,�0.�Q �pJ��- , , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRpPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �` � U <br /> BUILDING SIZE � CJ �C � O � SQ FOOTAGE I � Q HEIGHT �� <br /> BUILDING � $ '� VAL���OF TOTAL CONSTRUCTION <br /> �__.---- <br /> � � �- - -- <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION '� ��� � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE �- - � REGISTERED / N CuRa�n Y/ N <br /> Address ' License # —� <br /> ELECTRICIAN � �� j �� 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 <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 for new conswuction,, <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon Pfans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpstPr; Sits Work Permit for subdivisionsllarge projects <br /> COMMERCIAI. Att :ch (3} wmplete sets of Building Plans plus a Life Safety Page; (1) set of Ene�gy 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 Facltities & 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 constructlon. <br /> r,���,�„���������.� � <br /> � � �.i� � � ��ua i � � a�.ut i <br /> Di�ectlons. <br /> Fill out application completely. <br /> Owner & Confractor sign back of application, nota�ized <br /> If ovar;2500, a Notice of Commencement is required. (A/C upgrades over i7500) <br /> *' Agent (for the contractor) or Power of Attomey (for the owner) wouid be someone with notarized letter from ormer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />