Laserfiche WebLink
s�3-�aaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Name Owner Phone Number �l3 /v���� � <br /> Owner's Addresa � `�' �� � R Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J0�3 ADDlt�SS ���" r� ���� "�'`'`� LOT# � <br /> SUBDIVISiON PARCEL ID# d✓ �� � � � �d S�' d�d Oa r f�S� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PRpPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEI Q <br /> DESCRIPTION OF WORK �' � <br /> BUILDING SIZE SQ FOOTAGE ��� HEIGHT <br /> QBUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL s AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> QMECHANICAL a r���� x� VALUATION OF MECHANICAL INSTALLATION <br /> '7 <br /> OGAS Q ROOFING Q SPECIALTY Q 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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL Gy��� COMPANY /`,� �U <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� N <br /> Address s�7 ��"` �L� � 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 consUuction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fadiitles&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCtAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fonns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsfte,Constructlon Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permft for all new projects.All commercial requirements must meet compliance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consUucUon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> if over 52500,a Notfce 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 Serv(ce Upgrades A/C Fences(Pfot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />