Laserfiche WebLink
B13-780-0020 City of Zephyrhills Permit Application Fax-813-780-002� <br /> Building Department <br /> � <br /> Date Recelved + � � a'7 Y�:S/� <br /> Ph e ContactforPermi n <br /> Owner's Name l�. Owner Phone Number �� ��V <br /> Owner's Address �J�� �� � wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � ' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LlJ Z l i I I ^L LOT# � <br /> SUBDWISION ��il ���� PARCEL ID# Z "�Z " �7 U'�J` <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BIOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � 1 , � <br /> BUILDING SIZE S�FOOTAGE C� HEIGHT � <br /> �BUILDING $ .C��7 � O VALUATION OF TOTAL CONSTRUCTION <br /> �)L <br /> �ELECTRICAL $ AMP SERVIC `� � PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ `�0..`�� C"�� , •`! �,�I/5 I <br /> � 2 ���oo ��wQ ,` /� f1�,-.-: <br /> � <br /> �MECHANICAL $ r_ VALUATION OF MECHANICAL INSTALLATION <br /> ��� <br /> OGAS ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS LOOD 20NE AREA �YES NO <br /> :�-� ��y,� a y��,.j,.,I, -- I ,��i�1�1"1 <br /> BUILDER MPANY � ���(U UI�'C ��U.X IV � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y!N <br /> Address l.Jl � � ����ense# � ,L"}l�t��_� <br /> ELECTRICI ��, ,(/�/,/f �[� � � MPANY . � � ��-3-'� l �� <br /> SIGNATURE ' 'Y- -t -�.� � REGISTERED Y/ N • FEE CURREP /N <br /> Address ��� �J_ GW1 �� License# G� �i2-� � _ I <br /> PLUMBER � � � MPANY C ��,^4'�' <br /> SIGNATURE � � � � `�' REGISTERED Y/ N FEE CURRE� Y I N 1� �_Zc�13 <br /> Address � �bb I License# l � <br /> �eed <br /> MECHANICAL �\ ���� COMPANY � ��• <br /> SIGNATURE REGISTERED / FEECURRE� /N <br /> �.,/ J� b <br /> Address � 1 L �" � License# � ��b�� s�a R,�� <br /> OTHER y �8�P� ` � '� `��' lCl <br /> SIGNATURE REGISTERED / N FEE CURREP Y/N J <br /> Address tr�}' l�lCl�License p ���� "ZL�� <br /> RESIDENTI Attach(2)Plot Plans;(2)sets of Buiiding Plans;(t)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum[en(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&t dumpster;Site Work Permit for subdivisionsllarge 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 /> Sanilary Faci�ities$1 dumpster Site Work Permit for all new projects.All commercial requirements musl meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> `°`PROPERTY SURVEY required for all NEW construction. <br /> 1 1 1 � � 1 � 1 1 1 � 1 1 1 1 1 1 1 1 1 1 � 1 1 1 1 1 1 1 1 1 � 1 1 1 1 1 1 1 1 1 1 1 � 1 � � � 1 1 1 1 <br /> Direc[ions: <br /> Fill out application completely. <br /> Owner&Contrector sign back of application,notarized <br /> � If over 52500,a Notice of Commencement is required. (A/C upgrodes over f7500) <br /> " Agent(Tor 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � � � r e. <br /> �+�.� � � .J:��a.�L�7 f � ��"� L,�=!�f'1': <br /> t r <br />