Laserfiche WebLink
' ais-�ao-oo2o City of Zephyrhills Permit Application Fa,r.-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone ConWCt for Pertnittin Z <br /> TI-T-Tf-r — <br /> Owner's Name Er i�n S A ? � Owner Phone Number ��3'" 1 <br /> Owners Address ��� Z �j t» S�(`44� Owner Phone Number �--� <br /> Fee Simple Titleholder Name Er i n ,S q Y1 T i q C[J Owner Phone Number �� <br /> Fee Simple Titleholder Address � 1 Z(s 16�-ti S7�E 7 � <br /> JOB ADDRESS � Z � }h S�T e e 7- }1 r�I I� L LOT# �I I ��Z <br /> SUBDIVISION M Ccres �S;t1Glpj�i0j� PARCEL ID# ��1 �2 6'"Z� �aQ�0'(7Q"�O�,"1- U,�Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW coN57a B ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1% SFR Q COMM Q OTHER —� <br /> TYPE OF CONSTRUCTION �� BLOCK Q FRAME � STEEL Q r—� <br /> DESCRIP110N OF WORK {L�Q� 0��� G7'i�C� �PAjAG L' S I+i nr�e ("C� 4!��� i h;��s a <br /> p�Fl n s�,�,� <br /> BUILDING SIZE SQ FOOTAGE I L G>�' HEIGHT �� <br /> �BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL WSTALLATION i � �� � ( <br /> �GAS Q� ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA �YES NO <br /> 1 1 1 1 1 • <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE 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 <br /> License# —� <br /> OTHER /��(1_ / COMPANY �5/'Q� incDc�nalcl 1eC�10`�n1'� <br /> SIGNATURE '��' t�wiil. REGISTERED Y/ N PEE CURRE� Y/N <br /> Address 7'�y3 SR 5'N �l4 P12 � 3�S3 License# C.�-t �,�Z S$;33 <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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)worki�g days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Bwlding Pians plus a Life Safety Page;(1)set of Energy Forms R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wf Silt Fence installed, <br /> Sanitary FaciliLes 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 atl NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notanzed <br /> If over 52500,a Notice 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 notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs rf shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/FOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />