Laserfiche WebLink
a�a-�eo-oo20 � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received j 1 •- /� <br /> � �4 � `7 Phone Contact for Permittin �� 13 -- � �� <br />' ` � � r <br /> Owner's fVame �e e {Y,�', (�iN OwnerPhone Number <br /> Owner's Address 6� t � �Q ►�Yt O �(' '1�, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehoider Address � <br /> JOB ADDRESS �� p(' �(� � � I S 33 LOT# � <br /> SUBDIVISION S � �r �✓C'i.KS PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL EP <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q , BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � C(,P (�� �eS �I'ld r� l�C� <br /> BUILDING SIZE . SQ FOOTAGE HEIGHT <br /> QBUILDING $ � ���� (;I VALUATION OF TOTAL CONSTRUCTION <br /> „` <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOM �� <br /> ��� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � � COMPANY �!'h e C�w i� e� <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 /> PLUIVIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAMICAL COMPANY <br /> SIGMATURE 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 Plens,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilit(es 8 1 dumpster;Site Work Permit for subdivisionsllarge 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 Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciltties 8 1 dumpster.Site Wo'rk Permit for all new projects.All commercial requirements must meet compliance � <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. _ <br /> '•'•PROPERTY SURVEY requlred for all NEW construction. <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. (AIC upgrades over�7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be,someone with notarized lerier from owner authorizing same <br /> OVER THE COUNTER PERMITTING .,(Front of'Application Only) � .: '. �� - ' <br /> Reroofs if shingles Sewers Service Upgrades AlC� Fences(Plot/Survey/Footage) _ <br /> Driveways-Not over Counter if on public roadways..needs ROW . <br />