Laserfiche WebLink
�i3-�so-oozc� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received � � <br /> Phone Contact for Permittin <br /> . <br /> O�nrner's Name f�1Z (�, Owner Phone Number c�-9 r a- ��� <br /> Owner's Address ��/(o /Q L,q �-� ��"� <br /> � � � Owner Phone Number <br /> Fee Sim le Titleholder Name �w�tb �g�"� � <br /> p p���T '�''��'J'� Owner Phone Number <br /> Fee Simple Titleholder Address a SI YQLH C 1-1►T� G ; • <br /> ILL Z 5 p <br /> JOB ADDRESS L )—�, /e, LOT� /� � <br /> SUBDIVISION �/`/ ��n/ � PARCEL ID�! �I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROP03ED B NEW CONSTR 8 ADD/ALT �!� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> IPROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE UF CON3TRUCTION � BLOCK Q FRAME � STEEL O <br /> DESCRIPTION OF WORK ��IGG.p$�, �L(Z,f?�,v �M <br /> BUILDING SIZE io x r a SQ FOOTAGE �ap � `� <br /> HEIGHT <br /> �BUILDING $ c �°� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -�/ ��,S � <br /> l <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ,f <br /> S GNATURE � � COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> Address License# � <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# <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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a l.ife 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 instailed, <br /> Sanitary Facilities&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 consUuctlon. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> .• If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone w(th notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..n�eds ROW <br />