Laserfiche WebLink
a�s-�ao-oozo City of Zephyrhills Permit Application Fax-e��-�so-ooz� ' <br /> ' Building DepartmeM <br /> Date Received � u N� Phone CoMact fw Permitti <br /> �i -- •�7�0 <br /> Owner's Name f--V 5 H C�C�I�af�1� Owner Phone Number �%1� � �� °��Z <br /> Owner's Address �!�S � �� Owner Phone Numbe� �— � <br /> Fee Simple Titleholder Name �_ � Ovmer Phone Number <br /> Fee Simple Titleholder Address <br /> JOB AODRESS �C+1 3� �� �ST. ?�.�N y 2H rc.�s ���Z. LOT# � <br /> SUBDIVISION T`ISar.! � PARCELID# �'UJ'���°��(,ld"�1.�l��" � ,^7Tj� <br /> (OBTAMED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW COh6TR e ADD/ALT Q SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR O COMM � OTHER <br /> TYPE OF CONSTRUCTiON Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK '� To i.: i-1-�C L H�i C,E -pCl�' (.F{(;,2T �N ���-r L <br /> BUILDIN(3 SI2E I .5(C:.nc S FK SQ FOOTAOE I TICJ� HEI(3HT �� <br /> �BUILDING 3 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �� AMPSERVICE � PROGRESSENERGY � W.R.E.C. <br /> QPLUMBING $ .��`' ' <br /> QMECHANICAL $.�� �.� VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER j�/ � Q <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO +'�l <br /> � <br /> BUILDER � COMPANY �— <br /> SIf3NATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Addresa License# � <br /> ELECTRICIAN � � COMPANY � <br /> SI(4NATURE REGI5TERED Y! N FEECURREN Y/N <br /> Addreas License# �--� <br /> PLUMBER � � COMPANY —� <br /> SIONATURE REGISTERED Y( N FEE CURREN Y/N <br /> Address License# � —� <br /> MECHANICAL j r COMPANY V/tr�C KO�(/G /��� <br /> SICiNATURE REGISTERED Y 1 N FEE CURREN Y/N <br /> Address `�i �V '� �T License# ��1L C��' �V':°-s <br /> OTHER � � COMPANY --� <br /> SICiNATURE REGISTERED Y/ N FEECURREN Y/N <br /> Address -� <br /> License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 ( 1 1 <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permk for new construdio�, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWdion Plans,Stormwater Plans w!Sift Fence installed, <br /> Sankary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Forms.R-O-W Permd for newconsVudion. <br /> Minimum ten(10)working days after submittal date. Required onsRe,Construdion Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Faalities&1 dumpster Site Work Permit tor all new projeds.PJI commereial requirements must meet compliance <br /> SICiN PERMIT Akach(2)sets of Enpi�eered Plans. <br /> '"'"PROPERTY SURVEY required for all NEVN construction_ <br /> Dvect�ons.• <br /> ' 1 1 1 1 1 i 1 � i i <br /> Fill out application completely <br /> Owner&Contredor sign back of application,notarized <br /> If over E2600,a Notice of Commencement is required. (A/C upgrades over f7600) <br /> " Agent(for the wntrador)or Power ot Attorney(for the owner)would be someone with notarizsd IeHer from owner authorizing same <br /> OVER THE COUNTER PERMIITINO (FroM of Applicatan Only) <br /> Reroofs if shingles Sewers Service Upgredes A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />