Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date R�ceived _ <br /> Phone Contact for Permittin _ ____ �-.�` <br /> Shnmer's Name V ��� Owner Phone N�mber �1,3 `t'S 6 3�Cj 6 <br /> Owner's Address J��� �y� ' . Z� � �C� p�er Phone Number �$�3 ��2 � S 6b—� <br /> Fee Simple Titleholder Name ���. Mf}{��S rt- fv15 p�er Phone Number <br /> Fee Simple Titleholder Addresa J J� Z � -� �� <br /> JOB ADDRESS �g �(�- L Y I � LOT# C� <br /> —•J <br /> SUBDIVISION PARCEL ID� � I "w "'2I "-��10 " �,�j`�(q-�p�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN [� [� DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BIOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �5��Jl ��V�(J�U� �Q�� �� <br /> �_ <br /> BUILDING SIZE � �� Sq FOOTAGE ��� HEIGHT �b+ <br /> BUILDING $ ���� � VALUATION OF TOTAL CONSTRUCTION � �S �Q <br /> QELECTRICAL $ S � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �_, � � <br /> QMECHANICAL a �, VALUATION OF MECHANICAL INSTALLATION � ����� <br /> �GAS Q ROOFING Q SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �- � � COMPANY C���� , <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address S � License# �— � <br /> ELECTRICIAN % J' Q ` COMPANY d ���>'-' ' <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address SS(6 � T ' 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 Athach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Build(ng 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 wl Silt Fence installed, <br /> Sanitary Faalities 8 1 dumpster.Site Woric Permit for all new projects.All commerciat 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&Contractor sign back of application,notarized <br /> if over;2500,a Notice of Commencement is required. (AIC 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 Appflcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />