Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> � <br /> Date Received Phone Contact for Permittin — <br /> Owner's Name ;<.4?2l��t��LGL' r/Oa!��jN(� L�L�i v //'�L Owner Phone Number <br /> Owner's Address �� ��'y` �`f� l�A'�G—` � � �Y /'C 3 3 S�� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS �9�3 J�I��L�''�'`�'zt��✓���� r ' 2 LOT# � <br /> SUBDIVISION PARCEL ID# `3'r� �"5� �% �� ��/ °��p�'��i �' s� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONS7R e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK L-�'"����� ��/i l� �' � ���- T�J <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> � � � <br /> �^ECHANICAL $ ����y� �„� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y 1 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# � <br /> MECHANICAL %'" COMPANY ����-s��� /�C � �'�L`�T/�'`��' /WG <br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �k C �� /`�73�-1 <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bufiding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)wo►king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-�-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commerciai 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 applicaHon,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over E7500) <br /> " Agent(for the contractor)or Power of�4ttomey(for the owner)wouid be someone with notarized letter from owner authorizi�g same <br /> OVER THE COUNTER PERMITTING (Front of Applicatiqn bnly) . <br /> Reroofs if shingles Sewers ServiCe tJpgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />