Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received � (� -`���` <br /> � 1 Phone Contact for Permittin — <br /> � `,>�S'U C�U Z G <br /> Owner's Name L �t ;'�t i s Owner Phone Number <br /> Owne�'s Address ��S ,� Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS 1--� '� 5���/�'� � � 7��0 ���� � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK t� , �/� �C�Ct <br /> BUILDING SIZE �FOOTAGE �GG ' HEIGHT � ] <br /> �BUILDING $ ��,�,,C �^C VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ , ,.� <br /> �n I 1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� l <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ° '�,f �,J , COMPANY ns� f1 L ff C3`/ f ��"'� I�//Cc <br /> SIGNATURE � � "'�1 REGISTERED Y/ N FEE CURRE� Y!N <br /> Address �(�S c-� K S f f�� L/�f License# C���� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Pla�s;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing 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 construcGon. <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 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 /> •T <br /> 1 TIITTTfllfll'111111111111111 A <br /> i liia 1 LLLL 1 Lil 1 L 1 ��.L,�.L�. <br /> Directions. <br /> Fill out appiication completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commenceme�t ls 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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />