Laserfiche WebLink
e�s-�eo-oo2o City of Zephyrhills Permit A lication <br /> pP Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittln <br /> owner's Name �L/l/(/f ��fE <br /> Owner Phone Number �1 - � <br /> Owner's Address <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS U �� S T �Y�i(.LS � <br /> �5�� LOT# <br /> SUBDI�ISION � PARCEL ID# D p� pl � � � �fl 0 <br /> WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) O �� <br /> NEw CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM <br /> 0 � OTHER -,v� C�`��.� <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK ��T�� � � <br /> v'�c..� .=�u c�. v��J . �T— <br /> BUILDING SIZE ���� <br /> �FOOTAGE 4lS � HEIGHT � <br /> QBUILDING $ <br /> VALU N OF TOTAL CONSTRUCTION �a� p � � � <br /> DELECTRICAL $ AMP SERVICE <br /> 0 PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL �—'-- �� z C�� Z� <br /> VALUATION OF MECHANICAL INSTALLATION �•J <br /> QGAS � ROOFING Q SPECIALTY U OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> FLOOD ZONE AREA QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> ELECTRICIAN <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> Ucense# <br /> OTHER � _ <br /> SIGNATURE COMPANY �U�.,r{y N D(Z(:,t-'/`-�i(/�.� ��� <br /> REGISTERED N FEE CURREA Y/N <br /> Address �O�� S JQ�. ry ��!Y `C- � ,��' <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Build(ng Plans;(1)set of Energy FoRns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after suDmittal date. Requfred onsite,Constn�ction Plans,Stormwater Plans w1 Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpstqrk Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete��ts of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mlnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles& 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 construcUon. <br /> Dtrections: <br /> Flll out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over;2500,a Notice of Commencement is required. (A/C upgrades 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 Application 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 />