Laserfiche WebLink
�„-��0-UU1U City of Zephyrhills Permit Application FaX-e�a-�so-oo2� <br /> Building Department <br /> Date ReceivPd ���� �� Phone Contact for Permitting ��� � G -_ 31� <br /> Owner's tdame � Ovbner Phone Idumber `�- �-D�o? <br /> �Q Ctls�� n ' � � <br /> O�ener's Elddress � v� � O�nmer Phone Rlumber <br /> Fee Simple Titleholder Name Owner Phone Idumber <br /> Fee Simple Titleholder Address <br /> JOB eADDRESS �`"�FJa Q-(' � � �'(' LOT# C� <br />' sueoi�tsio� � PARC@!.Ib# � 1 -d1 ZO-OC�C�C�- pS� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NNORE(PROPOSED � NEW CoNSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> 7'VPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF lMORK \ � � t � � � (0 <br /> BUILDIMG SIZE SQ FOOTd1GE HEIGHT �� � ��x� <br /> �]BUILDING $ � <br /> � 1S��� VALUA710N OF TOTAL CONSTRUCTIOfV <br /> QELECTRICAL $ AMP SERVICE Q PROGRES�ENERGY Q W.R.E.C. <br /> L�� <br /> QPLUMBIfVG $ CO������\. Co���� � <br /> �����`�'bo�DJ� . _ ^�� <br /> �c �/ <br /> �MECHANICAL $ VALUATION OF MECHANICAL IfVSTALLATION `�( `� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FIRIISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ���, � COMPANY -Q�CSZ. Q]�C �Q <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address o��S ��y.�1� �� ,��, `��c �� License# -� `Q� <br /> ELECTRICIAN COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIMBER COMPAMY . <br /> SIG(dATURE RE�ISTeREO Y/ N FEE CURRE� Y/fV <br /> Address Ucense# <br /> f�IECHANICAL COMPANY <br /> SIGNATURE 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 /> RESIDERITIAL Attach(2)Plot Plans;(2)sets of Bullding 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 Facilit(es 81 dumpster,Site Work Permit for subdivistons/large projects <br /> COIIAMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, ' <br /> Sanitary Facilities&1 dumpster.Site Work Permft for all new projects.All commercial requirements must meet compliance <br /> SIGId PERMIT Attach(2)sets of Engineered Flans. ,. : <br /> •"'PROPERTY SURVEY required for all NEW consVuction. ' <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades over�T500) <br /> •" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with nbtarized letter from owner authorizing same <br /> ONER THE COUNTER PERNIITTING;.,..,;, (Front of Appilcation 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 />