Laserfiche WebLink
�,s-�du-uozu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received l'���'-� �� Phone Contact for Permittin �3 )� __ l 7�vb <br /> Owner's Name �p cAL.,�l.��h;� Owner Phone Number <br /> Owner's Address 3.S"1�17QQ,�� ,�G�,, Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number �- <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS G �I ' �j � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FO PROPERTY T�ncE)DEMOLISH <br /> M/ORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN <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 ,Y1� S�6-1'V L�ej�� 1 ` 1- L�+V lG � L..OS-� <br /> BUILDING SIZE � SQ FOOTAGE C� HEIGHT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> / .G'� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS 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 CURRER Y/N <br /> Address License# �- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECNANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER �1""" v �, COMPANY iC �lJC-• <br /> SIGNATURE i REGISTERED Y/ N FEE CURRE� Y/N <br /> Address /9608� �:a'L �„ 3g License# �� 13G�.3��� <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)working days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivisfonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of 8uflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliHes 8 1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consVucUon. <br />*"••"�DM1fe�ctions: . " <br />� Fill out appNcatlon comptetely. •�'��` � ' ' <br /> Owner 8�ontractor sigri back W appHcation,notarized '� . <br /> d; If a.ver s2500,a Notice ot Commencement is required. {A/C up�radea over 57500) <br /> v,�` <br /> " Agent(for dhe contractor)or Power of Attomey(for the owner)would be someone with noNarized letter frqm oamer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon 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 />