Laserfiche WebLink
• a�a-�8o-002o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � — ��— Phone Contact for Permittin '��z ,u i!`,��_(� � <br /> � <br /> Owner's Name � �� , �� ' �u j %! Owner Phone Number �' <br /> Owner's Ad ess ;`•.r��O ;-t"'� r��� "; E�`'_ � � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name-- """ Owner Phone Number �— <br /> `�f ':. <br /> Fee Simple Titleholder Address <br /> � <br /> JOB ADDRESS ���i �� (�v ,t, �+'r' `� I�!�•.,C �,_1 - � �� � ,,,� r',�t� ' lOT# �' �, <br /> � <br /> r <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT �] SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �.�c I i' '�1 � �� �- �� '�-�n�'-z->� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING $ rf �J� �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRES�S�ENERGY Q W.R.E.C. <br /> l <br /> QPLUMBING $ ���� <br /> f <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI Nr- �.. <br /> �— ��L./j� �� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER - � �; COMPANY � C-� LL` n t� 4�' <br /> SIGNATURE � •:�-e� C� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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)wo�lcing days after submittal date. Required onsite,Construction Pians,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 8�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 /> Directtons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,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 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 />