Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date I�eceived Phone Contact for Permittin � � �� _�C7g <br /> Owner's Name S t Owner Phone Number � • �C(S . '��� <br /> Owner's Address p `� Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS 1 . �� LOT# �� <br /> SUBDIVISION � PARCEL IDM �� • 02 I d� (�• 1 <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR 8 ADD/ALT I�_ SIGN_ [� C] DEMOLISH <br /> INSTALL REPAIR �Xi Q,.�,�� ���,F,�- <br /> v —�`, �u: <br /> PROPOSED USE Q SFR Q COMM Q OTHER [� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> + '�i-1 �G� Ot�� <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> �BUILDING S �j�� •� VALUATION OF TOTAL CONSTRUCTION <br /> `1 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� ���.� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �I <br /> QGAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATION 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 /> � � <br /> OTHER C � OMPANY ; _ <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa �- ��'( - 3��� Ucense# K'�K` ��'� �-�'�� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit tor new oonstructlon, <br /> Minimum ten(10)wo�lcing days aRer submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes 8 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 constructlon. <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 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 consUuction. <br /> Directlons: <br /> Fill out applicatlon completely. <br /> Owner 8 Confractor sign back of applicadon,notarized <br /> If over t2500,a Notice of Commencement is requlred. (A/C upgradea over ST500) <br /> '" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon 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 />