Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permfttin — <br /> Owners Name L lTi�� D•�r� Owner Phone Number <br /> Owne�'s Address � l� �S'� ��� !��'�!/�LL�- �.� Owner Phone Number � <br /> Fee Simpie Titleholder Name Om►er Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � B �'->� /��'""rf ff L� LOT# � <br /> SUBDIVISION r— PARCEL ID# �—��'_�("��`I� �%' ��� Q'� O Q � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R e ADD/ALT 0 SIGN 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 �� J�BO� I�-�l W/�lf .Z/�=��"LN S S �/�//✓��S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ] <br /> QBUILDING $ �D � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION .�% I 3U� { <br /> t ` � <br /> QGAS �/ ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE � 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# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER �J'1,//, '�/r COMPANY 6''"fI'VlN �COGu�iJ�'' <br /> SIGNATURE �� �'�''� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address `� � �6� �� L'I� li 3 J� l.icense# �-�Q`�'f7`�/ <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,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivlsionsRarge 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 constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> *' Agent(for the conUactor)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 />