Laserfiche WebLink
813-780-007_0 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �,/ 3 ,��/ <br /> Phone Contact for Permittin _ S'� ? <br /> Owner's Name i I�j L.l�� ��� h'O t c��-.J�-✓�',,,�S <br /> Owner Phone Number <br /> Owner's Address � �/O .�St,U p � � e, Owner Phone Number � <br /> Fee Stmple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� <br /> LOT#t <br /> SUBDIVISION ��(��/^�a t�(� PARCEL ID�k G�-��v °�/ -v,�l/O ^ voc,�n - �U G <br /> (OBTAINED F�PROPERTY T�ncE)DEMOLISH <br /> WORK PROP03ED B NEW CONSTR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � ����N II�N�L C NA,� �/�rc F�'Ne�-`f <br /> BUILDING SIZE SQ FOOTAGE 1�() � HEIGHT C� ` <br /> �BUILDING $ <br /> ��.3 S.lU c� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY <br /> �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY 1"�,S�C� ��N� C c� �, <br /> SIGNATURE �' �---i, i N <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL 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 /> Add�ess <br /> 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 Facilitles 8 1 dumpster;Site Work Pertnit for subdivisions/large proJects <br /> COMMERCIAi 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 Faciflties 8 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 /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over;2500,a Not(ce of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized tetter from owne►authorizing same <br /> OVER THE COUNTER PERMITTING (Front'of Application Only) <br /> Reroofs if shingles Sewers Servtce Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..Fleeds ROW <br />