Laserfiche WebLink
s�a-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rece�yed Phone Contact for Permittin __ <br /> Owne�'s Name � �d- /v f L'�T/vQ��l � d`(C�(�Sd/� Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number -� <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS / 1 Z S '� �� LOT# � <br /> SUBDiVISION PARCEL IDf! <br /> (OBTAINED FR�OM pROPERTY T�rice)DEMOLISH <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 6 C��'!C!!✓� L( ��C'� <br /> BUILDING SIZE �FOOTA(iE /ST HEIGHT (j <br /> QBUILDING $Z 2 3�� � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUtLDER COMPANY �'(/Y1(� ��dJ C� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��-j� �!.S lCr u'v 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 <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# <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/Siit Fence installed, <br /> Sanitary FadBtfes&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 construcdon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Pians,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compflance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"`"PROPERTY SURVEY required for all NEW consUucUon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarfzed <br /> If over t2500,a Notice of Commencement ia requlred. (A!C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />