Laserfiche WebLink
a��-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received � � aC'� ��� C� <br /> Phone Contact for Permittin �� �' () - 3� ! <br /> -TT1T1 T-1— <br /> Owner's Name , I � m S6 n Owner Phone Number ) ' � 3 3 7 <br /> Owner's Address `�7����/ ��.�h+� �"�;r,�,�a„��t S, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ` LOT# 4'� <br /> JOB ADDRESS �/ / � � �/ L�wj°,.� t;�n�Mb�� � <br /> _,� <br /> SUBDIVISION k n PARCEL ID# ��l���'�� �'�1 3�!'��- U'-� b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER ` e O X ( <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��/ '� �rl� <br /> BUILDING SIZE I OX I� SQ FOOTAGE ��� HEIGHT �_—� <br /> r"P7"1"1'y��PrT1"1"rr <br /> �UILDING $ `�} � �� VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ <br /> d� l ���� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER `� ��� COMPANY �N-�� � L. <br /> SIGNATURE � � REGISTERED Y/ N FEE CURREN Y/N <br /> Address a��� —� �n S� ja+- Y� '3 ���`�� License# C. L �� '�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREh Y/N <br /> Address License# -� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building 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 installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(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 Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must me?t ro•npliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "*'PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . <br /> Direct�ons.• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <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(PIot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />