Laserfiche WebLink
., e��-�eo-oo2o City of Zephyrhills ermit Application Fax���-�so-oo2� <br /> ,_�� ' BuildingD artment <br /> Date Received � �� phone Contact for Pe itting � (>U <br /> Oxmers Name - C Owner Phone Number <br /> . � 2 <br /> Oxmers Address #V?J�� Owner Phone Number <br /> Fee Slmple Titleholder Name P.FP Owner Phone Number <br /> Fee Simple Titleholder Address ^ <br /> JOB ADDRESS V 4 O LOT It � � <br /> SUBDMSION '�511 PARCELID(! �' V � I�' V <br /> (OBTAINED FROM PROPERN TAX NOTIC� <br /> WORK PROPOSED e NEW CONS7R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK <br /> ' f ( <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> �UILDING $ Ol� VALUATION OF OTAL CONSTRUCTION ��(V1. <br /> lJ �.v <br /> �LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> �LUMBING $ <br /> [ uIECHANICAL $ VALUATION OF ECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER �j COMP Y <br /> SIGNATURE "(/ REGIST ED Y N FFE CURREA /N <br />- - aaa� u��# l� OZ <br /> ELECTRICIAN COMP � P�� '-` ' <br /> SIGNATURE r�cisr eo Y N F�cuwiQ. N <br /> Addr�s �� License# uC..i.�� �� <br /> PLUMBER COMP <br /> I SIGNATURE REGIST ED Y N FEECURRFI. Y N <br /> Address r License# S C�1 <br /> MECHANICAL COMP ~ �� <br /> SIGNATURE REGIST � Y/ N �cu Y N <br /> Address License# <br /> OTHER COMP Y <br /> SIGNATURE REGIST Eo Y/ N FEECURRR. Y/N <br /> Address License# <br /> 11111111111111111111111111111111111 IIIIIIIIIIIIIIIIIIItlllllllllll <br /> RESIDENIIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-0-W PertnR for new construdion, <br /> Minimum ten(10)working days after submittal date. Requi onsde,ConsVuction Plans,Stortnwater Plans w/Sitt Fence instelled, <br /> Sanitary Facilities 81 dumpster,Site Work Pertnit for subdi isions/large projects <br /> COMMERCIAL Attach(3)complete sets aF Buildng Plans plus a Life Safe Page;(1)set of Energy Fortns.R-0-W Pertnit for new construclion. <br /> Minimum ten(10)working days afler submittal date. Requi onsfle,Construclion Plans,Stormwater Plans w/SiR Fence installed, <br /> San'dary Facilities 81 dumpster SBe Work Pertnit for all n projeds.All commercial requiremeMS must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWctio <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,rwtarized <br /> If over 52500,a Notice of Commencement is requfred. (A/C upgrad over E7500) <br /> " AgeM(for the conUactor)w Power of Ariomey(for the ovmer)would be eone with notar¢ed letter frwn owner authormng same <br /> OVER THE COUNTER PERMITf1NG (Front of Application Onty) <br /> Reroafs if shingles Sewers Service Upgrades A/C Fenoes(PI Suney/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />