Laserfiche WebLink
a�a-�ao-oo2a City of Zephyrhills Permit Application � I y �3� Fax-813-780-0021 <br /> Building Department <br /> Date Received � � �Y _ / `.� <br /> Phone Contact for Permlttin p�� �]�� __ U � 1 6 <br /> Owner's Name ���,TG 1.�, �t��(..('� Oyvner Pho�e Number ��3' ��6 - 3� 6� <br /> .�51 b �rc �1��E2 pQ. z-K���.s, <br /> Owners Address PL 33 p Owner Phone Number <br /> Fee Slmple Titleholder Name � Owner Phone Number <br /> Fee Simple Tltleholder Addres <br /> JOBADDRESS � p�L ���,p , Z,�j�f\\ �1-�\l.l..S, FL 3 3.5va LOT# �� <br /> SUBDIVISION PARCEL ID# �� �a b"��' CU O\� -�p��p0 - U O.q D <br /> (OBTAINED FR�OM PROPERTY T�ricel DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD! LT � SIGN <br /> B INSTALL 8 REPA <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTIONOFWORK 1NTE�'�\vR �I�RT�T�vU VJ�Q�LS <br /> BUILDING SIZE ��` �` �U\ SQ FOOTAGE `�i�G� HEIGHT S I �� <br /> UILDING $ � i ,f/ � <br /> `j� 1,{�� VALUATION OF TOTAL CONSTRUCTION ���..�' <br /> ELECTRICAL $ AMP SERVICE <br /> Q ROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a � �(� ' <br /> —� <br /> MECHANICAL -����-_ <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION �. <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � � �y..s����� <br /> �� ' `Sj - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� �''''�" C <br /> iv�-� y,�-��3�. <br /> ,��s,2,�--. <br /> - - - �� � <br /> � � <br /> BUILDER . �T S � COMPANY �`���"'� C-� �`'STQ'�"LS`O►N or�lt,¢�y`�A r L, <br /> SIGNATURE _ ReGisre►tED Y/ N FEE CURRE� Y/N <br /> Address 36��3 s�- 5� �Z E���R-N\�1.5,,H—3 �'� License# r— � <br /> ELECTRICIAN '�-" �' COMPANY ���rQ-T�N ��.,'Ei..-t-Q,�L„ <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address 3 � License# �� � �j����� <br /> PLUMBER N � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL N � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# --� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� 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 /> Mlnlmum ten(10)wortcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivlsionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Bullding 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 tor all new projects.All commercial requirements must meet compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"""PROPERTY SURVEY required for all NEW constructlon. <br /> Dlrecttons: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of application,nota�ized <br /> If over 52500,a Notice of Commencement(s requtred. (AIC upgrades over 57500) <br /> '" Agent(for 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 Appllcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />