Laserfiche WebLink
� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��j��� phone Contact for Permitting � S7� -- �s.Z'� <br /> Owner's Name d6�Lj�,��4'f�� Owner Phone Number �/,3 �� � 2�30 <br /> r <br /> Owner's Address 37�,.� �O (J/! �Q� �. � �.%� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �j� U/� ��P ZP /� /�iY�S fL •�Srl�2 LOT# �/S <br /> SUBDIVISION �' A PARCEL ID# U3'-�6�� / —O/20-d�drob10 —OS/QQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN � MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL � OTHER <br /> DESCRIPTION OF WORK �C O �'c/� /` �O �L � �35.2�.S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ rj �? cv VALUATION OF TOTAL CONSTRUCTION <br /> J O <br /> � ELECTRICAL �$ � AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> � , <br /> 0 PLUMBING � � I ���J <br /> � <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS � ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO <br /> BUILDER � �� COMPANY /` ,v c i- S�w�'� <br /> SIGNATURE .�, REGISTERED N FEE CU RENT /(�) <br /> Address /�'�.� ./ ,8/tr� �'t�•,4,�,y� .t37�Z License# �C��5�/!� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/N <br /> Address License# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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 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/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$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 ow�er authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />