Laserfiche WebLink
, sis-�so-oo2o City of Zephyrhills Permit A lication <br /> ' • Build� �n ti PP Fax-813-780.0021 <br /> � .° ment <br /> Date Received f'" � � *� <br /> �-r-rr-rT- one Contact for Permitt' I 3 Z(n cj__ f� c�, � ' I�j` <br /> Owners Name (� C1� �-�.� � <br /> Owner Phone Number <br /> Owners Address �_3�� � 3S'�2 <br /> 'T �. NItL <br /> Owner Phone Number <br /> Fee Simple Titleholder Name �� <br /> Owner Phone Number <br /> Fee Simple TiUeholder Address �R <br /> JOB ADDRESS �-�A�J�_�2P0 '3�'4Cp � <br /> �t"YJ'JU�: �N-/RJ3iu3' � 3Z'��P2 LOT# � <br /> SUBDIVISION / <br /> PARCEL ID# / <br /> WORK PROPOSED e (OBTAINED FROM PROPERTY TpX NOTICE) <br /> NeWCON57Re ADD/ALT � SIGN � <br /> INSTALL REPAIR � DEMOLISH <br /> PROPOSED USE � SFR Q COMM <br /> TYPE Of CONSTRUCTION � BLOCK � OTHER <br /> Q FRAME � STEEL � <br /> DESCRIPTION OF WORK �� � <br /> BUILDING SIZE �d' S�C� SQ FOOTAGE (�S(= <br /> HEIGHT � <br /> �BUILDING $ <br /> � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING g <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �� t/ � <br /> QGAS � ROOFING � SPECIALTY �� <br /> FINISHED FLOOR ELEVATIONS � OTHER <br /> FLOOD ZONE AREA �YES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ f�f FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br /> ELECTRICIAN <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N <br /> FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N <br /> FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED y� N <br /> FEE CURRE� Y/N <br /> Address <br /> OTHER M�9 " License# <br /> SIGNATURE / d'v�� COMPANY S�� Sa 1-tr,'�a.i <br /> � 5 �f_- `��,P� �ay r N L <br /> . REGISTERED Y/ N <br /> AddfBSS 3y L 1 G,� nn L FEE CURRE� Y/N <br /> k K'-v� �r"�PA f-� �3 I'f- <br /> i � � iiii � � � ii � i � � � ii � i � � � iii � i � iiiiii � � � i � ii � � � i�� � �#i �� i � i � i � � � � � � � ii <br /> S 12000723 <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,Stortnrrater Plans w/Silt Fence installed, <br /> COMMERCIAL Attach 3)complete sets of Buelding Plans p usf a L"rferSa ety Page(1)9 ePof�Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <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 construction. <br /> Directions: <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 upgredes over 57500) <br /> "' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarizetl letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of App�ication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> �nveways-Not over Counter if on public roadways..needs ROW <br />