Laserfiche WebLink
tl1J-/tlU-UU1U City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> � <br /> Owner's Name 'UCC CD.'''v Owner Phone Number <br /> Owner's Address ��Jl�;.3 l 1_5 �j (�� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titieholder Addresa —� <br /> JOB ADDRESS 3�4 3( � t.J(�� LOT# �_� <br /> SUBDIVISION PARCEL ID# f� �L� °L/ - t���/ U - O Z L v C� .- C,p '7 O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1MORK PROP03ED � NEW CONST� ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEI Q <br /> DESCRIPTION OF WORK � !G`/�/��N ���/��� F�N � � i} � <br /> T <br /> BUILDING SIZE SQ FOOTAGE ��d HEIGHT ( <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> / bov va <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING a <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> c � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ��� COMPANY ��1 S C � � z�/� C�c=r Cy �' <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# C <br /> PLUMBER COMPANY � <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# � � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTEREO Y! N FEE CURRE� Y/N <br /> Address License# C � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisfonsllarge projects <br /> COMMERCIAL AtNach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-�-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> '"'"PROPERTY SURVEY required for all NEW construcUon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appflcation,notarized <br /> If over i2500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon 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 />