Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> i <br /> )ate Received � " " � Phone Contact for Permittin ,Sa a� - `,�q 7 <br /> �nrner's Name �t��` � I'/1 Ow�er Phone Number 4�3 ` ��f.�� � '���/ <br /> hvner's Address ����� u- ��% Owner Phone Number � <br /> 'ee Simple Titleholder Name Owner Phone Number �— <br /> 'ee Simple Titleholder Address <br /> lOB ADDRESS Oa S ,5 p �V G� LOT# � <br /> iUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ►�I C CV�Ct,✓L4�P l`�Lti � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> OPLUMBING $ j�% � � � <br /> �� �� <br /> t MECHANICAL $ � O VALUATION OF MECHANICAL INSTALLATION � �, <br /> ! ��, <br /> OGAS ROOFING Q SPECIALTY 0 OTHER .._.._�,,,,, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# r— � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � O( . r r� �.5�' 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 /> Minlmum ten(10)working days after submiKal 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)compiete 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&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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br />" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner�uthonzing s�r►e <br />�VER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen�es(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..neecfs ROW <br />