Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received , <br /> ' Phone Contact for Permittin __ <br /> Owner's Name t� �/�� � �rl�s Q /ti Owner Phone Number �(.3 3 � L Q�� <br /> Owner's Address � ��� ► e������ �- f Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS �j ���I�� �4�,( ��I� C � LOT# � <br /> SUBDIVISION ��GCLt,XJr1� PARCEL ID# <br /> � (OBTAINED FO pROPERTY TAX�rice)DEMOLISH <br /> WORK PROPOSED B NEW CONS7R 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 ���- C l"���J� <br /> . 1 <br /> BUILDING SIZE SQ FOOTAGE �6L� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. <br /> QPLUMBING $ � �%�/J�G� <br /> � � � <br /> �MECHANICAL $4 ��c} � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER ,�yh f <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO C�V ` <br /> c <br /> BUILOER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# � -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL /�,�/ _ _ / ,v COMPANY � J 7�1'J�n+'�,, (,`L"K�Z./f�+L� <br /> SIGNATURE 'e'��' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C_ <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 Building Plans;(1)set of Energy Fonns;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 Facilities&1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Per�nit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appiicallon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over ET500) <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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />