Laserfiche WebLink
s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� -2„�--�3 Phone Contact for Permitting ` �� z- — �O/ <br /> Owner's Name �� V �M!`i �..5 Owner Phone Number � � �� V �� <br /> Owner's Address TV`t t7 ��� S— ��/�'( �y �� Owner Phone Number <br /> Fee Simple Titleholder Name �1��"� �"1•ry.'� �J�/ C Owner Phone Number C <br /> Fee Simple Titleholder Address � N�'�- w Ov°�� .�1� 'C.�C I�` l�l���r �L �J 1��� <br /> JOB ADDRESS � Y7 L�L� �`7" �� �'����' �"� 3�3+`� LOT# � <br /> SUBDIVISION �"� E� � • �• �- , PARCEL ID# r� ^��'��� QQQ�' IJ W�(/�/ P IJQ��V <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM �] THER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q C <br /> DESCRIPTION OF WORK v`� N • N, /4/�/�/ "F,L/�J �,�a�l� (,U�{� .S�/�/�iL.� p,l ��� /QNL <br /> BUILDING SIZE SQ FOOTAGE ��a r HEIGHT � l,! / ] <br /> �BUILDING $ �(�/� VALUATION OF TOTAL CONSTRUCTION <br /> ''l/1V <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ ��� <br /> � ' � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> � � �{1C�L IC f�,q �/.�^b �/� <br /> BUILDER ,� ��MPANY '1 ��<<!C/CP(WO�I�G J��� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �V� ��'2 '� � � �� • �� License# �C�,7� � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 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 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 Facilities& 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perrruit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali 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 /> If over$2500,a Notice of Commencement is required. (A1C upgrades over;7500) <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 shi�gles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />