Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department �`72���5�'����'S �Y <br /> Date Recelved phone Contact for Permlttin (� � `f��} <br /> Owner's Name A � '� Owne►Phone Number <br /> Owner's Address � � ��� OMmer Phone Number �--� <br /> Fee Slmple Titlehoider Name � Owner Phona Number <br /> Fee Simple Titleholder Add►ess `, •' � <br /> JOBAODRESS � I � Q � . L.(� ���� 'Y\l �S �� . �� LOT� � <br /> SUBDIVISION PARCEL ID# <br /> �OBTAtNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEI Q <br /> DESCRIPTION OF WORK Q�?� <br /> BU�LDING SIZE SQ FOOTAGE� HEI HT <br /> n <br /> �UILDING S VALUATION OF TOTAL CONSTRUCTION �n�y/Y � <br /> ,�--5 U O.C'° '"� � 1/� <br /> QELECTRICA� S AMP SERVICE Q PROGRESS EMERGY Q W.R.E.C. � � �r�C..�'' ��yf� �1� <br /> QPLUMBING S `� �� � ' �C'�qi�j� ^ `( �'1 "L•' <br /> 7 , ��� � y �,,����r y <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTA TION �l� � <br /> � � .- C� <br /> � �� / <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � ' j''� _ � � �" <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO � (� ' � <br /> .,,��� <br /> S GNATURE `V 1 C �' �' i� rt O�is�rtED ����REn Y!N <br /> Address l�ce�se# � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGiSTEReo Y I N FEE cuRrtEn Y I N <br /> Addrea�_.._ Ucanse# <br /> ���THER /l—� � COMPANY <br /> IGNATURE `� REGISTERED Y/ N FEE CURRE� Y!N <br /> �G �� ddrcas Ucense# -`i <br /> f�� - <br /> RESIDENTIAL Attach(2)Plot Plans;{2)sets of Building Plans:(7)set of Energy Farms;R-O-W Pertnit for new consWction, <br /> Mlnimum ten(10)working days after submltlal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary FadiiUes&1 dumpster;Site Work Parmit(or subdivlsionsllarge proJecls <br /> COMMERCIAI Attach(3)complete sets of Bulldl�g Plans plus a Life Sately Page:(1)set of Energy Fortns.R-O-W Permit tor new consWctlo�. <br /> Minimum ten(10)working days after submlHal date. Requlred onsite,Construction Plans,Stormwater Plans w/Sflt Fence Installed, <br /> Sanftary Fadlitles 8 1 dumpsler Site Work Permit for all new projects.All commerGal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets oi Englneered Plans. <br /> ••'•PROPERTY SURVEY requlred for all NEW consWctlon. <br /> Directions: <br /> Fill out applicatlon completely <br /> Owner&Contrador sign badc of appNCation,notarized <br /> If over 52500,a Notice of Commencement Is requlrod. (A/C upgredea over 57500) <br /> "• Agent(for the contracta)or Power of Atlomey(for the owner)would be someone with notarized letter irom owner aufhorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />