Laserfiche WebLink
a�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Reaeived • �� l� l C�_ t�� rl�� _. C1,��� <br /> x� <br /> Phone Contact for Permlttin V <br /> Owner's Name L��,\��,{1 1 �Lt� � Owner Phone Number <br /> OwnePs Address � 1 V � �� Owner Phone Number � <br /> Fee Slmple Titleholder Name Owner Phone Number � <br /> Fee Simple Tltleholder Addresa <br /> JOB ADDRESS - I '�� �1� Z'�\``�j � �� 3 ��r� 1 LOT# C� <br /> SUBDIVISION PARCEL ID# "' ���1 � ��� c�����—���� <br /> (OBTAtNED FROM PROPERTY 1fAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �] OTHER (-- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ����,��\ ���,� (���,�j�� 1���, � <br /> BUILDING SIZE SQ FOOTAGE U HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �UMBING $(�,y �D� ��� <br /> `���-' �_x_' � �� z� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER ��(�� <br /> lJ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN � COMPANY <br /> SfGNATURE _ Recisrerte� Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER ���(((\\\ ,��" L-� � Q � � (� COMPANY �--��'n�� w��`���� . 1'� � <br /> SIGNATURE �\�"���� `J ��--""""` 6 REGISTERED N FEECURREA N <br /> Address Sl� l��n S� Z-hl`1S ��- ����� License# C.t-�14 c�� 0 V o� � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W PeRnit for new constructlon, <br /> Minimum ten(10)woticing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadAtles 8 1 dumpster:Site Work Permit for subdivisionsllarge proJects <br /> COMMERCIAL Attach(3)wmplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minfmum ten(10)woricing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements rtwst meet compliance <br /> SIGN PERMIT Attach(2)sets of Eng(neered Plans. <br /> «'""PROPERTY SURVEY requlred for all NEW consUuctlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement ls requlred. (A/C upgradea over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized tetter hom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />