Laserfiche WebLink
s�aaao-oozo City of Zephyrhills t'ermit Hppncauur� • -• • -- — <br /> 8uilding Department �/Z� " ;I� ��D <br /> � � tVJ �� '.� <br /> .� -- ��'7 , <br /> Date Received �� � Phone Contact for Permitting <br /> Owner's Name � �� - '��m� Owner Phone Number <br /> Owner's Address �a C✓�� ���� �� � � LL-S � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number�— <br /> Fee Simple Titieholder Address <br /> G/- f� � <br /> JOB ADDRESS �JO cF'�� �Y1� �lJ %�'(%L' 'Z�P�" '�' ��C-� 3-'�S �' LOT# <br /> SUBDIVISION ��� �'��E�'s l I�/f'� PARCEL ID# �5"Z�"Z�� COJ-/9'G CUC-'L� ~-!l�O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR �G ADD/ALT 0 SIGN [� MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM [� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK A DA17(�J�% u'F P��Df'-Le�vl �11�A �'��U '4�'�1� <br /> BUILDING SIZE Z7 x �� SQ FOOTAGE 4�� HEIGHT <br /> �'' BUILDING $ �` ��� •-- VALUATION OF TOTAL CONSTRUCTION <br /> a�i"` ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> � 1, Z�o �- -�� _ - ,r,/ <br /> � PLUMBING $ �� �" " v � �� �� <br /> ��;`C.�St 3<►�0�-��'�-�. <br /> 0 MECHANICAL � , /�-�-y� - � VALUATION OF MECHANICAL INSTALLATIO ���L ������ <br /> I �f 67�� I �J <br /> GAS � ROOFING � SPECIALTY 0 OTHER v �� {1�°�p( S'1 ' <br /> 0 � � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES N S� ��S�� � <br /> � .�i��'� C_�O�ST, s`� �..1 <br /> BUILDER - COMPANY �-L- <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N I3 <br /> Address F �os� T�/ ��/��FGc.t� 7�- �3 License# �����Z�� �� �- <br /> ELECTRICIAN o4COMPANY Ck--J"�/2JeL�'�S C ✓� <br /> SIGNATURE i REGISTERED Y/ N FEE CURRENT Y/N <br /> Address V� /D�/ ��il� "' � License# � <br /> PLUMBER COMPANY /► �` <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �— <br /> �� ,� n /�,., � �/ <br /> P� MECHANICAL �ps fj S�"� ���6'(; � COMPANY �1�/e-5 v6� ��/� <br /> SIGNATURE `l••- �1, �'� REGISTERED Y/ N FEE CURRENT Y/N <br />�`�_��cC�,o.00z� /�' � �-' h / - <br />� Add � �v/�1� v�Y��'� Z <br /> P'Z OTHER�`� <� `�(�I, ��� O 1 COMPANY G I� �I��I�6 <br /> � SIGNATURE �� ��+"' ' "`�-�'� l-�j�"� REGISTERED /--�N-^- ' FEE CURRENT Y/N <br />`��3-7 f�o.✓c�z I <br /> Address Ucense# <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 Permit for subdivlsions/large projects <br /> COMMERCIAL Attach(3)compiete 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 ove�$2500,a Notice of Commencement is required. (A/C upgrades over�5000) <br /> �* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />