Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date�Received "7 j <br /> �� Phone Contact for Permittin �� 7�j� .1 C�' <br /> r <br /> Owner's Mame �J }Y`� j/ � /�,�- Owner Phone Number �� � << � �`�j � <br /> Owner's Address "�`� �''"7 l � �,J� Owner Phone Number � <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADORESS �j p�:� l�� ' �" � �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# ' �i�= C� Q 6�� " �,�'�(�/} . <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1AIORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN O � DEMOLISH <br /> INSTALL REPAIR <br /> �ROPOSED USE Q SFR Q COMM �� OTHER � <br /> TYPE OF CONSTRUCTIOIV Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��r �� �r��' .�--'��.�/�'�L��� s���? �/��- � / J�U,� � <br /> B DING SIZE SQ FOOTAGE 1�� HEIGHT c��� <br /> UILDING $ 7 �-�� �� <br /> � G - VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> ,��- , <br /> BUILDER � ���' � COMPANY d�� �J/U„%4-F'�'�`�, <br /> SIGNATURE � ���jG REGISTERED Y/ N FEE CURRE� Y/N <br /> Address y���-��---' c_J�1'�-�r.' lc>L� � Tj�Y✓t/�� 5',�6�� License# C�C, <��-�y�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster;Site Work Permit for subdivisfonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit 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 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 /> T R 1�11111111�711�fIfe�11�1� <br /> �IIJ Iil <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,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 with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (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 />