Laserfiche WebLink
813-780-0020 �ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bui�ding Department <br /> Date Received Phone Contact for Permittin /3 � 7 7 __ �t f( / <br /> Owner's Mame 7 �" Ot= � �l /�{�t 4 ��s Owner Phone Number �! ?J— 7�f� �OD� ,�' 3 � <br /> Owner's Add�ess Owner Phone Number <br /> Fee Simple Titleholder Name �— � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �cS 7� C !� y�yt/ci� —C/�"�/� � �c� r� ,rj�� LOT# �� <br /> SUBD�VISION � —� pARCEL ID# <br /> (OBTAtNED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Ce '�� ��7� L!'?/� -�—�NG(`/ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �. <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION `C���_ �� <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � <br /> OMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY CJS 1� ��e� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 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# --1 <br /> MECHANICAI. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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 Pians,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 consVuctlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over sT500� <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 PERMI7TING (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 />