Laserfiche WebLink
s�3-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparlment <br /> Date Received �- (`j' �Z-- phone Contact for PermlNin — <br /> Owne�'s Name Owner Phone Number / �CJ����� <br /> Owner's Address �_ Ovmer Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTiCE) <br /> WORK PROPOSED e NEw CONS7R e ADD/ALT Q SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 S EL Q <br /> DESCRIPTION OF WORK ^-- <br /> BUILDING SIZE � SD AGE HEIGHT �� <br /> QBUILDING $ �3 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING S `� � ��� <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> QGAS OOFING 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 /> Addreas License# � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI+ Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address cense <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED / FEE CU E� Y/N <br /> Addreas License# C_ <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,ConsVucBon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles�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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for atl new projects.All commerctal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'"PROPERTY SURVEY requfred for all NE1lf/construction. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Ovmer 8 Contractor sign back of appiicatlon,notarized ' <br /> If over i2500,a Notice of Commencement la required. (A/C upgradea over 57500) � <br /> "" Agent(for fhe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIN6 (Front of Appflcatlon Only) <br /> Reroofs if shingles 5ewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />