Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application JFaX-s�s.�eo-ooz� � <br /> , � � � Building epartment ' / ��� ��, <br /> �1 <br /> Date Fteceivec9 ��-,�y � <br /> -�� / Phone Contact for ermitting � , ,� �� � <br /> Owner's Mame /��. ;.�,�r�v��r� Owner Phone,(dumber � ,�Z,s'� <br /> Obrner's Address - � � K..f j�I O�mer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS %S"r �--- 7,S�5s=- ` '7 ..S`"7 ---_ � � � LOT# � <br /> SUBDINISIOP! (J.)A 1�� /�u��"" PARCEL B # —� � (j U,3� — �7 U�.. G C1�o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> HHOR6(PROPOSED N TALLST�e REPAIR � SIGN 0 Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOId ��BLOCK Q FRAME ' 0 STEEL Q <br />, DESCRIPTIOfd OF VVORK �(�,p.cJ' b ,e, <br /> BUILDIfdG SIZE Q � � SQ FOOTAGE HEIGHT � ! <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION ` <br /> I � Gv—, <br /> �ELECTRICAL $ AMP SERVICE �� PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> ' � � '1 s� <br /> QMECHAIVICAL' $ VALUATION O MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALT 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER � �, . COMP NY <br /> SIGMATUPZE � � v�,� 6✓�' REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN j.z�G'w�� CORfl NY !�� �G,l ^ FC/ <br /> SIGIdAY7JRE �� REGIS RED Y/ N FEE CURRE� Y/N <br /> Address �/y .�(� / � �� License# �� Z <br /> PLUMBE6t COM ANY ' <br /> SIGMATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address � � Z�j License# `17�, <br /> MECHAidICAL COAA AMY � <br /> SIGMATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address �OJ U! � ,� k�UL , � License# C,��- �L�db C' <br /> OTHER , COM AIdY <br /> SIGMATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for sub ivlsions/large projects <br /> COMIIb1�RCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all n w proJects.All commercial requirements must meet compliance <br /> SIGfd PERfiAIT Attach(2)sets of Engineered Plans. <br /> "`"PROPERTY SURVEY required for all NEW constructf n. <br /> Directlons: <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized <br /> If over Sa500,a Notice of Commencement Is required. (AIC upgrad s over�7500) <br /> `° Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same <br /> ONER THE COUNTER PERMIYTIIVG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(P oUSurvey/Footage) <br /> Driveways-Not oVer Counter if on public roadways..needs ROW <br />