Laserfiche WebLink
e�3-�so-oozo City of Zephyrhills Permit Applicat' � Fax-813-780- z� <br /> Building Departrnent <br /> � � <br /> Date Received i � Phone Contact for Permi ` � (� -- ��� <br /> 9 <br /> Owner's IName S��^���'1 . Owner Phone Number <br /> Owner's Address ����-2 �� I � h Owner Phone Number <br /> Fee Simple Titleholder fdame � � Owner Phone Number <br /> Eee Simple Titleholder Address <br /> JOB ADDRESS oZ G� ( 1 � i� / � ��~ LOT# � Io <br /> SUBDINISION �n �'� �� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lNORK PROPOSED � NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR. <br /> PROPOSED USE Q— SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOtd Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIOM OF WORK ( � ��f�/� .G �l Z'� r S!^-� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY. Q W.R.E.C. <br /> �2� <br /> QPLUMBING $ t ] / <br /> � ��s � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q4Z <br /> . � ��� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �r�.� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> ,5�, S`� , <br /> BUILDER � COINIPANY � <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> Address �r � i s� � . 4 "�C ���/d License# ��.3 C��- <br /> ELECTRICIAN COMPAfdY <br /> SIGMATURE 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 /> SIGIdATURE 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 FaclllUes 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 /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater 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 a2500,a Notice of Commencement is required..=(A/C upgrades over 57500) <br /> •" Agent(for the contractor)or Power of AEtomey(fo�the owner)iivould be someone with notarized letter from owner authorizing same <br /> , OVER THE COUNTER PERMITTING;; •;:(Front of Application Only).;.`�,,, <br /> Reroofs if shingles Sewers : r.-Service.Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />