Laserfiche WebLink
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 8uilding Department ��O�r Q <br /> 1 <br /> Date Received �� Phone Contact for Permittin U�'-� /�� -- ���/ <br /> Owner's Name � Owner Phone Number �OZ" ��07 1Q9� <br /> Owner's Address 3 ` d!y �Ll.° Owner Phone Number�- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �/Q�7 C- '�I���I�GV �� /�.�k( � LOT# <�+ <br /> SUBDIVISION � PARCEL ID# ��� ��' �l�� ' G��'Ol <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME Q STEEL Q QTHER <br /> DESCRIPTION OF WORK d rl ��^�� • �l OLI� C�u'�''�KS t ��! � �O� <br /> BUILDING SIZE ID x �J9 SQ FOOTAGE 3°l0 � HEIGHT <br /> � BUILDING $ �$�.� � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ ��O � <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS 0 ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> � <br /> BUILDER COMPANY �C(�Y1P.(� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address c�/0�y �L � ' 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 <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Sanitary Facilities 8 1 dumpster <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary FaciliGes&1 dumpster <br /> 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. (A!C upgrades over 55000) <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 Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />