Laserfiche WebLink
s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ �(��"/� Phone Contact for Permittin <br />'�(Owner's Name (' S °bwner Phone Number �J 5 /— � y 7 <br />�Owner's Address 3��'�'Jo �� �/� Owner Phone Number � —� <br /> Fee Simple Titleholder Name �— � Owner Phone Number C <br /> Fee Simple Titleholder Address <br />�OB ADDRESS �r � � ��h LOT# � <br /> SUBDIVISION � PARCEL ID# � �- �t,"' Z( � d O I C�� � ���C��-Q��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED - NEW CONS7R 8 ADD/ALT � SIGN Q C� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q C <br /> DESCRIPTION OF WORK �C�x !2 pa�E-i r� W��T�/1 nC� S�c�b <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> BUILDING $� VALUATION OF TOTAL CONSTRUCTION <br /> �Ob�`' <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ /��� � <br /> �' `� <br /> 0 '�` � �d o . , <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Cj� <br /> �� �i � f�,ro`/�(,��-��- <br /> OGAS Q ROOFING Q SPECIALTY � OTHER p �'�-� bYt�G�� <br /> � � �S �c 1 �.03 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO 1�1,���St .�1`�y5'� <br /> ��-f-- t� � 1 <br /> � <br /> BUILDER �t� � COMPANY �Y'`�O^/1.Q_ d(..tY1�{ <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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 I 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 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 subdivlsionsflarge 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 consUucbon. <br /> Minimum ten(10)working days after submittal date. Required onslte,ConstrucGon 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 over a2500,a Notice of Commencement is requlred. (A/C upgrades over;7500) �w <br /> `• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ow�tr au� � <br /> OVER THE COUNTER PERMITTING (Front of Applica�on Only) ���� : <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) � �t�d��`' :Y� <br /> �'�fl��Mil�edre . . <br /> Driveways-Not over Counter if on public roadways..needs ROW '" <br />