Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application � ��ii �j� Fax-813-780-0021 <br /> Building Department <br /> . <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name �(' � Owner Phone Number <br /> Owner's Address .3 ��1 �lp � �� �'k � r Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ) �,� ��„�� LOT# � <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CON57R 8 ADD/ALT [—� SIGN [� �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER [— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q � <br /> DESCRIPTION OF WORK Y'C�i'�CUO� Lj�� �G � � /� � <br /> BUILDING SIZE SQ FOOTAGE �� � HEIGHT <br /> �BUILDING $ ` Q�� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VAL^ UATI�O�N�MECHANICAL INSTALLATION <br /> U`'���-�� <br /> QGAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER �_ COMPANY �� c�o�� ��t 1('L <br /> SIGNATURE REGISTERED Y/ N FEE RRE� Y/N <br /> Address � y- ' -- \ � �� -l� �\ ���.J"�� <br /> License# ���`—j� � �q— <br /> ELECTRICIAN COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C_ —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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# C —� <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)woricing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivis(ons/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: ,,w,,.,,�, ,., <br /> Fill out application completely <br /> Owner&Contractor sign ba f application,notarized <br /> r <br /> If over E2500,a Notice of Co r�lencement is required„ (A/C upgrades over 57500) <br /> " Agent(for the contractor)or P wer o(Attom�y(for the ownef)wou�¢be someone with notarized letter�rom owner authorizing same <br /> ' ��_ , <br /> OVER THE COUNTER PERMI7T ' tion Only) y <br /> Reroofs if shingles Sewers Service Upgrades (PIoUSurvey/Footage) ,; <br /> Driveways-Not over Counter if on public roadways..needs ROW ��'�°"`�•� �,,,,...,� <br /> �cr-»aq''`°� , <br />