Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bwlding Department <br /> Date Received <br /> Phone Contactfor Permittin <br /> TI TT-fT '" <br /> Owner's Name �QR l�h i Owner Phone Number � �4 '!O�S / �V � � <br /> Owner's Address lQU (�,[' ( � `r L��i er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �D 3 "I (�f��I�( �e��aC'v LOT# � <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPEOFCONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK �� ���a <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT C� <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R E C <br /> �PLUMBING $ � � <br /> �MECHANICAL $ � � VALUATION OF MECHANICAL INSTALLATION /� ' �� <br /> �j� <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y!N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY �(' /�J(/�(JD�S � -� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address <br /> License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt � lll <br /> RESIDENTIAI. Attach(2)Pbt Plans;(2)sets of Building Plans,(1)set of Energy Forms,R-O-W Permit for new construction, <br /> Minimum ten(10)worbng days after submittal date Reqwred onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach;3)complete sets of Building Plans plus a Lrfe Safety Page,(1)set of Ener�y Forms R-O-W Permit for new construcGon <br /> Minimum ten(10)working days after submdtal date. Required onsite,Construction Plans,Stormwater Plans w/Sdt Fence installed, <br /> Sanitary Facddies&1 dumpster Site Work Permit for all new projects All comm-;cial reqwrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construction <br /> Directions:• 4-4� <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> if over E2500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notanzed letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br /> W lu /1�� ��� �- <br />