Laserfiche WebLink
s�3-�8o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ,�,�. � /� - �j ,�G/ - � �`l _ ���� <br /> / Phone Contact for Permittln J 4 � �1 <br /> Owner's Name (� ���� � �,� �� Owner Phone Number <br /> Owner's Address � �'l_J �� ���� �� Owner Phone Number � � <br /> Fee Simple Titleholder Name a m � � <br /> Owner Phone Number <br /> Fee Simpie Titleholder Address--� �� ' - <br /> JOB ADDRESS � ��� �-7-��t 1�1� ] LOT# � <br /> SUBDIVISION , PARCEL ID# �� 'Vp� �'� p� � -�7�(,� - J 1�L�• (b�.( � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT [� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM �� OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �E��.����Q� �,� � ���� ���-�.,`� 1 ��;� nr; <br /> i\ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �— <br /> BUILDING <br /> $� ���,� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ��r� �� AMP SERVICE � PROGRESS ENERGY O W.R.E C. <br /> V <br /> QPLUMBING $ S��r- <br /> �Nl`� 0 <br /> MECHANICAL � � <br /> � $ VALUATION OF MECHANICAL INSTALLATION �I`� � <br /> ��''R � <br /> OGAS [� ROOFING Q SPECIALTY �� OTHER v � E' <br /> FINISHED FLOOR ELEVATIONS � � ���CfG�-�`� � � <br /> FLOOD ZONE AREA YES NO� <br /> ��C MPANY <br /> BUILDER �v • m ��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �-(rj � ' �-1�j(�`(�p�,'�}� ��^�-� License# ��'� �(�3c�� <br /> ELECTRICIAN � vCOMPANY � \ 1 ) (�(���L + <br /> SIGNATURE r � ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address /�-�'y� (� � � � , ��r� �' . <br /> 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 CURREi� Y/N <br /> Address License# C <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)working days after submittal date. Required onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities�1 dumpster;Site Work Pennit for subdivisions/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!Siit 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 Englneered Plans. <br /> ""`*PROPERTY SURVEY required for ali NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (A!C upgrades over;7500) <br /> '" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />