Laserfiche WebLink
s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiveai Phone Contact for Permittin -- <br /> � <br /> Owner's Name �+"(d�-,n.� � �vc� ��t'�t v . Owner Phone Number 3SL- `t Z�f�z r 2`" <br /> o �- 1,�� r �ssYZ 35Z- �t2 Zv5"/� <br /> Owner's Address Ga `�$ �� 3l?�� (ti r� l5 t'C� Owner Phone Number `�' <br /> Fee Simple Titleholder Name Owner Phone Number <br /> �d3 �42 �5�f9� <br /> Fee Simple Titieholder Addresa <br /> JOB ADDRESS �p0�f 1��'`- e,�k �- f�.�1�5 �L 3 3 SY� LOT# � <br /> SUBDIVISION �"�'-�'k- tt��` PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADD/ALT � SIGN Q Q DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE �RJ SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK y�S�a.l� ���.c�2_ Z G l, � X l� W In.�� U�.'� ( <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ ��D m� VALUATION OF TOTAL CONSTRUCTION <br /> 0 <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � � <br /> � � ��6 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER n ` /,// COMPANY n O We�o 1,� �.k-� <br /> SIGNATURE °�Y� REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � <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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Wo►k Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets af Building 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 Facilities 8�1 dumpster.Site Work Permft 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 /> If over s2500,a Notice of Commencement is requfred. (AIC upgrades over 57500) <br /> `" Agent(for the contractor)or Power of Attomey(for the owner)woutd be sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon 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 />