Laserfiche WebLink
a�saao-oozo ' City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved ,� � � / > <br /> Phone Contact for Permlttln � �..5� � � � _ � Z�3 �M� k�� <br /> Owner's Name �C5,-J.�1 U � F�..c,) �tE�p �� �„�.,� Owner Phone Number �i � 6�^ � d <br /> i $ .�i <br /> Owner's Address 7 Z J ,„�;� h ci����'� J-+,p"��� Owner Phone Number <br /> � � c�,,,�Y .� � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS l G � G� C.�- LOT# � <br /> SUBDIVISION PARCEL ID# � .� `������ i� �'j ��� « �� r �� n �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR � COMM � OTHE Lv� � S <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � r- <br /> DESCRIPTION OF WORK ��C��� MCt'NiJ N!�t1�S(C•,ti� (,�J p�(v CCS��.S �C1 c.�S nt 'ia��S <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ ^�� <br /> L 7� VALUATION OF TOTAL CONSTRUCTION <br /> ,�ELECTRICAL ,� �� AMP SERVICE <br /> $ �� � PROGRESS ENERGY Q W R.E.0 <br /> �PLUMBING $ �Z�g <br /> �( � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> � �a�� <br /> �GAS � ROOFING � SPECIALTY � OTHER W I� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO .� `" � <br /> S� <br /> BUILDER 1/ vi/ �. OMPANY ��?` ��=-�J�C�G C��S(���S <br /> SIGNATURE �� �G�� REGISTERED Y/ N FEE CURREN Y!N <br /> Address ���C� S�jQ t� �F��v � ,�,�j 1 --� <br /> License# �5 d lSC�c�n Q <br /> /� �L <br /> ELECTRICIAN ��� �/�/ 'COMPANY �E,S1 ��•1�,`��DC.. S � �j J S <br /> SIGNATURE � REGISTERED Y/ N FEE CURREN Y/N <br /> Address � 1s ZC> J J �{� �/�1 "��D� a <br /> � �7 License# �- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> Illlllllllllllllllllllllllltlllllllllllllllllllllllllllllllllllllll <br /> RESIDENT'IAL 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 8 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,Stonnwater 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 8�Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement(s required. (A/C upgrades over s7500) <br /> '" Agent(for the contractor)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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />