Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin �p p� � � <br /> Owners Name �6n h mQ-U�-� Owner Phone Number <br /> Ownel's Addreas 3R`I G? S�Fec l ti pf. Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS 3��) v lOC'G �-Eu�lS {��I'G, ��T� ,�/a, <br /> SUBDIVISION �QJn� I�ps-1 � PARCEL ID# ��'aS a(-D(�D'I9ObDD`� 01�e�� <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED B NEW coNSiR B 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 STEEL Q <br /> DESCRIPTION OF WORK e 5 (� (� O � e�� <br /> BUILOING SIZE SQ FOOTAGE I?O�� HEIGHT �� <br /> BUILDING $7aG?8• �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ /�pO � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �I 3 ��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING � SPECIALTY � OTHER <br /> FINISHE�FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER �xQ�„ e�a 1 `��OMPANYL �� kSTL�L�-7'�� <br /> SIGNATURE �u'�'"`� `� REGISTERED Y! N FEE CURRE� Y/N <br /> Address �'�'�`��0�" /•' License# ��7 t�(/S 77��.,� <br /> ELECTRICIAN . a , COMPANY ����/L�jl� �� <br /> SIGNATURE 'REGISTERED Y/ N FEE CURREA Y/N <br /> Address C�y �)�/ ,// License# L✓'�tiVV�S�:-� <br /> PLUMBER � � COMPANY -� <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# -� <br /> MECHANICAL CpMppNy <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y I N <br /> Address License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIf111I111111111111111111111 <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)compfete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittat date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faci�ities&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 construdion. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contrector sign back oi application,notarized <br /> If over E2500,a Notice oi Commencement is required. (A!C upgrades over i7500) <br /> '" Agent(for the contrector)or Power of Attorney(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />