Laserfiche WebLink
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date F�ceivecf, Phone Contact for Permitting -- <br /> Owner's Name �/eo/ l� Owner Phone Number � � ' �- ��J <br /> Owner's Address !�� � V� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Yl-. P.� LOT# �� � <br /> SUBDIVISION Jvr K_ l Z'L+�.�S PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL 0 OTHER <br /> DESCRIPTION OF WORK ��L ��a r " — Gc� ar-f—� �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING � ������ <br /> � MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> �� 9 b <br /> 0 GAS � ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> MECHANICAL �' ,A �� 1 l /1 A �� COMPANY r�c�-- �/ 1/� C D� ��1 E�- � <br /> SIGNATURE �CU�i.61�-L �ti---�-��-��-�-«�� REGISTERED N FEECURRENT I N <br /> Address � j,� 1�Y�EML � ,�]L-11( License# �(�f��/7'J S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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 /> 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 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,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$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> *" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over ounl�if pn puplic�o�"w� ..�i , *^�~�^ . ,. <br /> ,.�._.w.Y.«.-W,,.,.e <br /> E�iti:,l�',i qfr-.�' :.{i.�U' ..iL'�:!r' . �'`�^�.+ � � ..� : �.: �a.- rt, <br /> ��ii'' �S aK'�S�sr4�lt� �fNS1+l,�. 7"��91 �o '^��` �' `+eS�T- .,I1.l.�t !q#.�✓{ ;'p,,-'���. <br /> C�s3�'zt ��,� -;�,�:�Ntt.'t�sr�� "�' '�f �,ti5 r&M:^,��q�s .nr�Fo^y1�-_�;, <br /> � �rc ,. , , l „ _ .+� , ' }«,��K +3+A *,��xt����� �: .'"�r�f.�: <br /> ' -' A s,,,n.� ;�t�,�.,, s �+�, .., c , .. � <br />