Laserfiche WebLink
sis-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��-�l Phone Contact for Permittin ��J �3 -- 7 7�� <br /> Owner's Name /e97'�� Owner Phone Number <br /> Owner's Address � �h � �:`ls Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS � ` / � �'�'G�T LOT# � <br /> SUBDIVISION � � PARCEL ID# �� �' ^ [f � '' !`iG�isi "���� <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 0 (/�'� / � S /���� /C�'�T'is1 <br /> BUILDING SiZE �-� Sq FOOTAGE �O HEIGHT <br /> �BUILDING S�OD D VALUATtON OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ,� 5i I� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> �GAS `� ROOFING Q SPECIALTY � 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 REGISTERED 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 /> MEC ANICAL COMPANY <br /> SIGN TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> s� ' License# � � <br /> OTHER � COMPANY �� C'/t��+'� ��/�'� J <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� � �,3 � �l� S � 33s7fl1 License# ����y!.37� <br /> RESIDENTIAL Attach(2)Plat 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 Facilities 8 1 dumpster;Site Wot1c Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding 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,Constructfon 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 consUuction. <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 ST500) <br /> "" Agent(for the conVactor)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 ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />