Laserfiche WebLink
� 813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> , Building Department <br /> t <br /> Date Received Phone Contact for Permtttin -- <br /> Owners Name ��.11 �v F- Owner Phone Number (1/��� � � <br /> Owner's Address � l I `e � � ! Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ,LJ LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PftOPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ( � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ �' VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ . ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( <br /> �� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS 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 COMPAfdY " <br /> SIGIdATURE 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 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_P-lans w/-Silt-Fence installed,-- '-"'� -- <br /> _ Sanitary_EaclAties_8�-1 dumpster;-Site Work Permit for subdivisionsAarge projects <br /> �—COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnstruction. <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 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 /> Directtons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 32500,a Notice of Commencement Is required. (AIC upgrades over 57500) <br /> "' Agent(for the contractor)orPower of Attomey(for the owner)would be someone with notarized lette�from owner authorizing same: , <br /> OVER THE COUNTER PERMITTING_ - '(Front of Application Only) ' , " , :� � <br /> Reroofs if shingies Sewers ,: " :,Service Upgrades A/C --.Fences(Plot/Survey/Footage) ' . - ._� <br /> Driveways-Not over Counter if on`public roadways..needs ROW � � ' � �' - _._ <br />