Laserfiche WebLink
a�3aso-oozo City of Zephyrhills ermit Application Fax-813-780-0021 <br /> � �� Building D partment <br /> � �a5 <br /> Date Received Phone Contact for Pe itting ���� V� Z - S� v *' <br /> Owner's Name �G���l V*�T��ST� Owner Phone Number �i3 � 3 SS ' `�°� <br />, Owners Address ��23Z 1 �L?'A �u' �'T Owner Phone Number <br /> IFee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � � " � I <br /> JOB ADDRESS ��a2�2 D�'T� l���j � LOT# 1 I <br />' SUBDIVISION SI L�115�J��V PARCELID# �O�^�6'Z I -Od(00- 001 O O - O 11(7 _ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ,e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR �- • LOMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK INStALL 1NbR�n+�Pvvi. V''1Zvf PAV�R �ULTGK- A�tIR.�L'1�1, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> dBUILDING $ 2 g�2Z3 VALUATION OF OTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br />' QPLUMBING $ y <br /> , � <br /> 2 <br /> OMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION �� ��� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO AREA �YES NO <br /> � <br /> BUILDER F� 6�1/LG COMPA Y CF1AU,�'r�I�LR 1�raLS � <br /> SIGNATURE �� �`t� eSQV�N��'il REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address ��7y b N• �klE M AB(L I�W T/tnnPp �(� 3 �� �icense# p o5b q►8 1 <br /> �-( (( �!1 '"� <br /> ELECTRICIAN �,�� � Vl-Q�"yJ COMP Y <br /> SIGNATUp'R�EC� REGISTE ED Y/ N FEE CURRE� Y/N <br /> Z'�"'� <br /> Address Lice se# <br /> �' ��,� S <br />' PLUMBER COMP Y %'Q'^ �!�,V" i� , <br /> SIGNATURE REGISTE ED Y FEE CU E� Y/N <br /> Address License# <br /> MECHANICAL COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> i OTHER COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 11111111111111111111111111111111111 IIIIIIIIIIIIIIIIIIIIIIIIIttllll <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. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdi isions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requir onsite,Construction Plans,Stormwater Plans w/Silt-Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ne projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"*PROPERTY SURVEY required for all NEW construction <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrade over$7500) <br /> ** Age�t(for the contractor)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />