Laserfiche WebLink
813-780-0020 City of Zephyrhills P�rmit Application Fax-813-780-0021 <br /> . , � Building Department <br /> • Date Received Phone ContactforPerthitting V � �l.J � – I L / <br /> Owner's Name �`�� �� Owner Phane Number �7 —1� l� �7�i <br /> Owner's Address ��� � �e Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholde►Address <br /> JOB ADDRESS ��� 1 e ' LOT# � <br /> SUBDIVISION � , � � PARCEL IDtF � l �4�b–��'V��d�\JIJ�-+IJIJ° ll'��<Y <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CoNSTR B ADDIALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME I STEEL Q <br /> DESCRIPTION OF WORK � � CJ � � <br /> BUILDING SIZE SQ FOOTAGE �O V" HEIGHT � <br /> �BUILDING $ VALUATION OF T TAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE , Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �� <br /> [�MECHANICAL $ c ,q fcA VALUATION OF ECHANICAL INSTALLATION � `�� <br /> �� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> BUILDER COMP Y <br /> SIGNATURE REGISTE ED Y! N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMP Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP Y ��m l�l I� l�l�1�OY1� <br /> SIGNATURE REGIST RED / N FEE CURRE� Y 1 N <br /> Address � � ✓� ������� UZ".- f! ' ''3����License# ��I7C.�� <br /> OTHER COMP NY <br /> SIGNATURE REGiST RED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pemtit for subd visions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safet Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all n w projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERI'Y SURVEY required for all NEW constructio . <br /> Directions: <br /> Fiil out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrad s over$7500) <br /> '" Agent(for the contracfor)or Power of Attomey(for the owner)would be s meone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITl1NG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI t/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />