Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recaived � �� � Q� ✓� G� ' � �} L <br /> Phone Contact for Permittln o� 1 p l..a`� <br /> Owner's Name Owner Phone Number •��� v <br /> Owner's Add�ess Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JUB ADDRESS � �{� q . F��,,, �- � LOT # C� <br /> SUBDIVISION rq�cl �6 ,� W 'L�- , PARCEL ID# c� • '�a' • �� / C� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR ' � � �� <br /> PROPOSED USE Q 5FR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � ��(�`9r le.�� � ���S 6 T �t'l�. \ � G <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> QBUILDING $•` �� _ VALUATION OF TOTAL CONSTRUCTION <br /> � CJ <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICAL � � �" � 2 <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � 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 � � <br /> 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 CUR Y/ N <br /> Address (Q� � � . � ,3�;3 y License # �� a � <br /> � <br /> RESIDENTIAL Attach (2) Plot Ptans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Co�struction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; S1te Work Permit 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 construction. <br /> Minimum ten (10) working days afler submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8� 1 dumpster. Site Work Permit for all new projects. All commercial requfrements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'"'PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 32500, 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 PERMITT{NG (Front of Application Onty) <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 />