Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received f� �7�a.- _ I�Gj <br /> � Phone Contactfor Permittin <br /> Owners Name ��1C%'��� �/�� Owner Phone Number -aos-� y <br /> Owner's Address �'��k��� �//I��U�t�' �T ST�.'3/ Owner Phone Number <br /> Fee Simple 7itleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � / "% N/�{. LOT# � <br /> SUBDIVISION �� "�� `� PARCEL IDX �y'c��'e.7I�`�� l��G7 �fii�' �V <br /> (OBTAINED FROM PROPERTV TAl(NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK l�`� `# 1 ' f 7� �i � \ '�\e 'ri <br /> BUILDING SIZE '�/ 3 .j S�FOOTAGE �G . � HEIGHT <br /> UILDING $ /+/>/7 fiG VALUATION OF TOTAL CONSTRUCTION <br /> �iri(i <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> � I ���� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER -��` _ � COMPANY � �� •dNST�liG��'� � <br /> SIGNATURE � fL,L�� REGIS7ERE� Y/ N FEE CURRE� Y/N <br /> Address 1/Q�S/� ,E'�5 i�,r'� E i / License# ,/��fl S 77ff��—� <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N � <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY —� <br /> SIGNATURE REGtSTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> Illllltllilllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construdion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Slortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 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 all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> M over E2500,a Notice of CommencemeM is required. (NC upgrades ovar t7500) <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 if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/FOOtage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />