Laserfiche WebLink
sis-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ` Date Received <br /> -rrr r-r-r ^ <br /> Phone Contact for Permittin ' -- <br /> Owners Name !-��V 1 T Q Owner Phone Number N l� <br /> Owner's Address Owner Phone Number 1� � � <br /> Fee Simple Titleholder Name Owner Phone Number � �' � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �OIG+)O �S�G�j YYl VY� �. �'� . 35�� LOT# [� <br /> susowisioN PARCEL ID# �2 2[o ZI OC�1 B OOK�O L� IO <br /> (OBTAINED FROM PROPER7V 7A%NOTICE) <br /> WORK PROPOSED e NEw CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TVPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �-� <br /> DESCRIPTIONOFWORK F IAi�n�s� s �ns�ail bacl�lo►�, (�1 m C�1QY11CA� Yn[�rn� <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R.E.C. <br /> �PLUMBING $ �^� /,� <br /> �j L <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE aecisTeaeo Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE RECisrEaEO Y! N FEECUaREn Y/N <br /> Address License# � <br /> PLUMBER COMPANY Alaaunh P►umb�►�a ��I�ApD�� am(�, 1n� <br /> SIGNATURE REGISTERED Y I FEE CURRE� Y/N � � <br /> Address �-�(QOZ 1`� �V� 1'� T�Vej License# `�C(�����-� <br /> MECHANICAL COMPANY � <br /> SIGNATURE RECisrEREO Y! N FEE cuaREn Y/N <br /> Address License# -� <br /> OTHER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> IIIIIII1111111111111111111111111111t11111111i1111111111111111111111 <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!Sdt Fe�ce installed, <br /> Sanitary Facihties&1 dumpster,Srte Work Permit for subdrvisions/large pro�ects <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 /> Mmimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stormwater Plans w!Stlt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compli�ance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"`"PROPERTY SURVEY reqwred for all NEW construction. <br /> D�rections.• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notanzed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner author¢ing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/FOOtage) <br /> Driveways-NOt over Counter if on public roadways..needs ROW <br />