Laserfiche WebLink
a�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � ' Phone Contact for Permittin -- <br /> Owner's Name � Owner Phone Number <br /> r� <br /> Owner's Address � �o � �����5 � �' Ovmer Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Addresa _� <br /> JOB ADDRESS ���t(� �" \� S ��`�. ` � LOT# � <br /> SUBDIVISION ���h� U � ���+-�_ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �t-�f d C�`, � ;;,,`-:�S��-�Y Q — \��•-�������.�� �� � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � �� � � <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS ROOFING Q SPECIALTY � OTHER � ���Gry � C�G <br /> � � <br /> FINISHED FLOOR ELEVATIONB 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 /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � � <br /> OTHER !R }"}_ � COMPANY �Cc7'C���l:�i�.,�w.-r,�-�.� � � <br /> ��^ �� <br /> SIGNATURE '�`�` REGISTERED Y I N FEE CURRE� Y/N <br /> Address �o �� �\ c`T 5c.,.�-`��''<t�rJ-� ��- �`3 -rj�.lo License# �—�--0`,��l 5 �� <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mfnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties 8 1 dumpster:Site Work Permit for subdivisions/large 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 /> Mi�imum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <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 consVuctlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement fa required. (AIC upgrades over E7500) <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 if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />