Laserfiche WebLink
913-780-Q020 City of Zephyrhills Permit Application Fax-813-7B0-0021 <br /> Building Department <br /> Date Received � -a�-� Phone Contact for Permittin O �,7 g3 3 __ '?7�,p <br /> Owner's Name �tl �Gn e Q-I�T/ Owner Phone Number O � �70�"o��j <br /> Owner's Address J�{p�o�-S �O M i/ Owner Phone Number � <br /> Fee Simple Titleholder Name —� Owner Phone Number � —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS d� C,iJ�O►'►�1 lt(f' �. LOT# �-�� <br /> SUBDIVISION /�Q.���pr! PARCEL ID# �7'" �S'oZ I-V��O-Q�-!�S/b � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROP08ED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ROOG Q�/Lv/ �!j.� (� ��� �ju�.�'��j ��� �j <br /> BUILDING 31ZE � SQ FOOTAGE JUOU HEIGHT �� <br /> QBUILDING $ �n ,,�,� VALUATION OF TOTAL CONSTRUCTION <br /> dw <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� � � <br /> � <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REcis�Reo Y/ N FEE CURRE� Y/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 �rt l�'- �/'O�✓n /N-t' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7 al ( S , � �3�(� License# ��Qy�37� <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 FaGlities&1 dumpster;Site Wo�lc Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building 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 Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW constructfon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500) <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 AppBcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />