Laserfiche WebLink
a�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ,� ��Q�� <br /> Date Rea.eived � O—Z 3`'p`�' Phone Contact for Permitting -- <br /> Owner's Name i �u� �-��/ �''��,� Owner Phone Number <br /> Owner's Address � �� � �2 7 h V"e Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �¢, LOT# C� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK ��.� ✓ ' G'c v �`` �- Z Uv y�ls^ <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> Q BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> �� ELECTRICAL $ �� � �� � � AMP SERVICE Z (7� PROGRESS ENERGY 0 W.R.E.0 <br /> � PLUMBING �$ <br /> � <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS � ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA �YES QNO <br /> BUILDER COMPANY <br /> SIGNATURE ftEGISTERED Y! N FEE CURRENT Y/N <br /> Address License# <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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 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 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 5ite 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 /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A1C upgrades over$5000) <br /> '* Agent(for the contractor)or Power of Attorney(for the owner)would be 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />