Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building pepartment <br /> , ' Date Received g� -�� <br /> Phone Contact for Pertniltin ��. �,�� -��(� <br /> Owner's Name Q` " � �� Owner Phone Number �7 / - � '3�� <br /> Owner's Address �7��C,' �FI.LM�'111 /71i'�, <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37(��L� IU t'��l�Ch I�l,'� LOT# I� <br /> SUBDIVISION �''(�, �; � �,r PARCEL ID# 3�-�`j-��-(,'��")�- i � - �;'1�(, <br /> (OBTAINED FROM PROPERTV TA7(NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �J 1�'C dl fi 1� ���`_>TZf� ��.���(�g-�' <br /> � <br /> BUILDINGSIZE '7X� SQFOOTAGE� HEIGHT �� <br /> �J <br /> UILDING $� ��� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ � �`�.� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY <br /> Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER �� � ��,/ <br /> SIGNATURE ��1'�' �,.(_�( � PANY ',� /N CL'AlST�LtL�O� <br /> REGISTERED Y/ N PEE CURRE� Y/N <br /> Address C.3���IG2/1i� i�=/ `� / License# C{��77��� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS7ERE0 Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGIS7ERED Y( N FEE CURREA Y/N <br /> Address � <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for ail 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 E2500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> "' Agent(for the contrector)or Power of Attomey(for the owner)would be someone with notarized letter from owner authonzing 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 />