Laserfiche WebLink
s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Z–,S-'�Z <br /> Phone Contact for Permittin – <br /> Owner's Name �G r1�N �U 1 L�E N Owner Phone Number g�� � � �7 � l� �y <br /> Owner's Address .��d l� ���LQ s' ��2� 1.� Owner Phone Number � <br /> Fee Simple Titleholder Name � � Owner Phone Number � —� <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS �7 � L y J�i �r 2 f'�`l� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN 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�'�"� '2C 7�m'� � <br /> BUILDING SIZE � SQ FOOTAGE �G d HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> OELECTRICAL $ �S-.Q o,� AMP SERVICE Z�U � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ,2 / � `� <br /> f J {p � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � , / <br /> 2 �.�, <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> ELECTRICIAN , v - COMPANY ��'E2S �-1 F C 1"✓l� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3 3 � �� �'��"rl E 1�T� —� <br /> 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 /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit fo�new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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 8 1 dumpster.Site Wark 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is requlred. (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 />