Laserfiche WebLink
a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Rec�i"ved Phone Contact for Permittin __ <br /> � 1 <br /> Owner's Name (- ��� �i`'/�/t(�'[ili� � Owner Phone Number <br /> Owner's Addresa C t�v /� �� °� � � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� 7"` � � <br /> i LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED NEW CONS7R 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 ,� u/ �..� ' ��� '�-��� �l� <br /> BUILDING 51ZE SQ FOOTAGEC] HEIGHT <br /> QBUILDING a <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL (�s ,. �.._D � AMP SERVICE�Q� [�. PROGRESS ENERGY �] W.R.E.C. <br /> L ��- .� <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �1���� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUtLDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN S _ _ COMPANY �l/ �/-l(�� ��('� ✓�. �. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� d C,� ,2�j�(� <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 /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;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 Facilitles 8 1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safey Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <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 constructfon. <br /> ,,,�������r�����.,���.���..� <br /> Directlons. "'"", ", T <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Com�nencement is required. (A/C upgrades over s7500) <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 PERMI7TING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades ae Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />