Laserfiche WebLink
s�a-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �-, ` ..�L `,n ��� � � � � <br /> Phone Contact for Permittin �� <br /> Owner's Name �iU-�..�-- Owner Phone Number �7���- �/� <br /> Owner's Address 3f � Z � � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number r � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� � LOT# C� <br /> SUBDIVISION PARCEL ID# � _I.� -Z -d D '"GC7D�(�r — � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT C� SIGN Q [� DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME [-� STEEL Q ('-- <br /> DESCRIPTION OF WORK � h �^ <br /> BUILDING SIZE �--� gQ FOOTAGE HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�£LECTRICAL $ �� qMP SERVICE Q PRO�ESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> /, , ,'�� <br /> MECHANICAL /�� � Y ' <br /> O $ VALUATION OF MECHANICAL INS�TALLATION� � <br /> , �� , <br /> [�GAS Q ROOFING Q SPECIALTY Q OTHER``^-•.._�,.__ / _ <br /> �__-----"""..-". <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 0 License# �����?.�d� � <br /> PLUMBER C MPANY <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 COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 Facilities 8 1 dumpster.Site Work Permit for ali new projects.All commercfal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY requlred for all NEW constructlon. <br /> •nrr�r�����• <br /> ifP�����f�������r����i <br /> Directions ' <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement(s required. (AIC upgradea 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 Applicatlon Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />