Laserfiche WebLink
°"-'tl1-"""' C;ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name '�' '"" �-•� �- � Owner Phone Number t 3" �7 S'-- U l�i <br /> Owner's Address r(� C � Owner Phone Number [ <br /> Fee Simple Titleholder Name Owner Phone Number [ <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS c��,°��/ ��� S'� ] LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WVORK PROPOSED e NEW CONS7R ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER � <br /> TYPE OF CONSTRUCTIOId Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF MVORK - � 1 c _ <br /> ,� v <br /> BUILDING SIZE � SQ FOOTAGE U HEIGHT <br /> �� <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> f .�.�C). �f a <br /> QPLUMBING $ — <br /> ��,5�� <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION !]�[ <br /> l ' <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR EIEVATIONS FLOOD ZONE AREA QYES Nq <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN ,-1 COMPANY r � CGT � ' 'Q' ICCS <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Add►ess ' - -�C, License# �R �'� '9 j ��,�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Add�ess License# C <br /> NIECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets oi Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL 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)worlcing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans wl 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 requlred for all NEW construction. <br /> Directions: <br /> Fill out applicatfon completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> if over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <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 PERMITTING (Front of Applicatlon Only) <br /> Reroois if shingles Sewers Service Upgrades A/C Fences(PfoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />