Laserfiche WebLink
�813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permitting __ <br /> Owner's Name �L` � !c 1J �OK Owner Phone Number � 7�� ��LJ�-J �7�1 <br /> Owner's Address ��o y� �1�ti�d 15 /� I,��E Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 r7�a7 O � J�} �f��S /�U�� LOT# � I <br /> SUBDIVISION I�J�J�-�d l{17�212d�,rJ � PARCELID# c3�'o�5-a�, ��90 -Q�00(� —�91D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <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 G I� � (�.T�- 3� — I� IC�" ��EJ� C<G <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � �2 fG( <br /> ;/� JU <br /> i <br /> !I <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � , D73 , ad <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS 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 J N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL ���� )_ \-� /1 Il �� COMPANY �C--� ��le- ��-�� W-- E�-E� <br /> SIGNATURE �� -�`��"`-�"` REGISTERED Y N FEE CURREI� Y/N <br /> Address Gv C t...L�!J License# C�E-� 3�7�S S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Bullding 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 fnstalled, <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(s 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 �UNT�,s�t,P�F,�Mr#'�Ili�y,,, ro t of Application Only) "�"'°'r"'°' " ' � h� <br /> Reroofs if sh' �Wa,,:x.,y�,g",vi�ei�''''°����Service pg' C Fences(PIoUSurvey/Footage) �'�f'� ~'� ar � � ,` <br /> �i�f,� °.4...-.'t,l�p�f . .n.r bf3lR ��,1J�1a1� ',(y ,,:.Slli') ',`st"%",H�+ . <br /> Drivew s ': 4S� �'t9Plt�r'Tf ��*16E' - - - eds ROW �'0° ,US x��s�e,, r�r.�r�:'vi+� _ <br /> y��u� ���' �",°tt:�'}"� �,'.cy'„ � � +"'�Z'�1i'�' i''4 ��vd$WTlft10�n ,�:�, �^e"' <br /> '.t+• � �[�.:/� '�'��'���� 'TdAi.�1'„}f����'.��A. ��� i�'r(,. <br /> .r, i �s�1�`� ��fi, <br />