Laserfiche WebLink
s�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact to�Permittin � ( / � <br /> Owner's Name /' p Owner Phone Number <br /> •s— � � <br /> Owner's Address _ � �C�` CL f�`� � '" Owner Phone Number <br /> Fee Sirr�ple Titleholder Name Owner Phone Number � � <br /> Fee Simpte Titleholder Address —1 <br /> JOB ADDRESS ��� �_ _ Q, �c1 r.m LOT# � <br /> SUBDIVISION PARCEL ID# ����-�f `-GG�(; �'j�Q� ` G��_ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED U3E Q SFR Q COMM �� OTHER �'�M t <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> 1 <br /> DESCRIPTION OF WORK _Trh�� `�� ; � ��'� � <br /> BUILDING SIZE � SQ FOOTAGE r-� HEIGHT � <br /> �BUILDING a <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY [� W.R.E.C. <br /> �PLUMBING a <br /> c�eo• � � �y�s� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY �"I/l �Cti�1 � GG� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANiCAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 /> Minimum ten(10)woilcing days aRer submlttal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary FaGlitles 8 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mi�imum ten(10)working days after submittal date. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement ia requtred. (A/C upgrades over s7500) <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 PEIiMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />