Laserfiche WebLink
�:r e�s-�eo-oozo City of Zephyrhills ermit Application Fax-873-78D-0021 <br /> �• Building De artment <br /> Date Received <br /> Phone Contact for Pe itting <br /> TITTrr rr <br /> �J n // <br /> Owners Name � � a ��C.� Owner Phone Number / � � <br /> Owners Address � d Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �6 -{� ' LOT# � <br /> SUBDIVISION J� '�Ul a� PARCEL ID#i � J v�`�LG� � Q "W/W �w l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoN57R 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME STEEL Q <br /> DESCRIPTION OF WORK W `�J 1J � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> TT�TI"ITTTrTI"ITTI"ITTTrTrT TT�TI"P't�TT1�TTT�T1"1'T'TTi� <br /> �BUILDING $ . � VALUATION OF T TAL CONSTRUCTION <br /> I <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> `/ <br /> �PLUMBING $ �J <br /> � <br /> OMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � `� <br /> �GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA DYES NO <br /> ���i�r�:�+-i•L��p�:�FF�'.�'.-:-:--•-:--i-+-F�C-:�-i-i-�i-� FL-�.'��i-�.�.--7-�f-7-••-•--•-•-�•-•-�•-•-•-•�-•-'-i-•'-�•- <br /> BUILDER COMPA Y <br />� SIGNATURE REGISTER D Y/ N FEE CURRE� Y!N <br /> Address License# <br />' ELECTRICIAN COMPA Y <br /> SIGNATURE REGISTE o Y! N FEE CURRE� Y/N <br /> Add ress License# <br /> PLUMBER COMPA Y fY/ /G� / <br /> SIGNATURE REGISTE�ED Y/ N FEE CURRE� Y <br /> Address � � 3YG 7 License# <br /> MECHANICAL COMPA Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPA Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Fortns;R-O-W Permit for new construction, <br /> Minimum len(10)working days aTler submittal date. Requir d onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdi sionsAarge projects <br /> COMMERCIAL Altach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Requir d onsite,ConsWction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all ne projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> +1--1--F-I+N-�1--1-1--1--F-f--1-1--FHI+N-+-N-{.-1--F-f--f--L-F-i- N-F++•F-i-f..{-�F-1-.1-I..F-�4-I.-1-i..1-.{-1--FF-i-F-1--1-4-1.-4- <br /> Directions: <br /> Fill out applicalion completely <br /> Owne�8 Contractor sign back of applicaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for lhe owner)would be so eone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appliration Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW � <br />