Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � <br /> , Date Received ' ..- �f� Phone Contact for Permitting �3 l Z5 � — �� <br /> � � �l�^��.r�.. <br /> Owner's Name �i e P le�! �r� v Owner Phone Number <br /> Owner's Address �5� � S l Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br />� � -�- <br /> JOB ADDRESS �S� S l � LOY# C� <br /> SUBDIVISION , PARCEL ID# � '� � "���QO��Q'�p� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH � <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF COPISTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIOfd OF WORK �l� ST1�G� ���� <br /> BUILDING SIZE U l� (� SQ FOOTAGE� HEIGHT � � / <br /> �BUILDING $���f �� VALUATION OF TOTAL CONSTRUCTION <br /> 7 <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> � /� �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� �(`� <br /> � ��i <br /> OGAS � 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE A�g,����QYES NO <br /> �b,�" Gi c <br /> � ,� <br /> BUILDER � �`,/ � � CO A V�C��t 7C��ILj.J�L7' ���-DS - <br /> SIGNATURE � GI TE E Y/ N FEE CURRE� Y/N <br /> � <br /> Address ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANV <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 Lfcense# <br /> OTHER COMPANY <br /> SIGNATURE FtEGISTERED Y/ N FEE CURRE� Y I 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 Facilities 8 1 dumpster;Site Work Permit for subdivisions/large proJects <br />� COMi1AERCIAL 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 Facilities•&1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance „ <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> � """PROPERTY SURVEY required for all NEW construcdon. <br /> Directions: <br /> Fill out appllcatlon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />