Laserfiche WebLink
_T_t+ <br /> � � e��-�so-0o2o Ciry of Zephyrhills Permit Application Fax-613-780-0021 <br /> � ,.__ � � Bu Iding Department <br /> Date Recelved phone Conta t for Permltdng � 7" U <br /> Owner's Name i� I Owner Phone Number O <br /> .�+L <br /> � Owners Address 3�� C�" ��, s �,� ���ner Phone Number <br /> Fee Slmple Titleholder Name ' I Owner Phone Number <br /> I <br /> Fee Slmple Tltleholder Address I <br /> JOBADDRESS � S� LOT# � <br />- I <br /> . SUBDIVISION PARi EL ID# � "a�I'� �'� �vf�' � JdC7�' d✓� <br /> (OBTAINED FROM PROPERTYTAX NOTICE� <br /> WORK PROPOSED NEW LONSTR ADD+ALT � SIGN Q Q DEMOLISH <br /> i B INSTALL e REP IR <br /> PROPOSED USE Q SFR Q CO M � OTHER — <br />' TYPE OF CONSTRUCTION Q BLOCK Q FRA E Q STEEL Q <br /> DESCRIPTION OF WORK � yi► I .� r ��G� t '� / 7�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br />�, �94rDING $ Q� VALUATII N OF TOTAL CONSTRUCTION <br /> �� <br /> �- <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ . ��� <br /> �. QMECHANICAL $ VALUAT ON OF MECHANICAL INSTALLATION � �� <br /> QGAS Q ROOFING Q SP CIALTY 0 OTHER , <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO <br /> ���BUILDER " r COMPANY CL��� • <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��� F-� l l�f"LGZ'th�`G License# � (�C.���O o7�� <br /> 337ss' <br /> ELECTRICIAN COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1 set of Energy Forms;R-O-W Pertnit for new conslruction, <br /> Minimum ten(10)working days after submittal dat . Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 81 dumpster;Site Work Permit for subdivisions/large prajects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L fe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working deys after submittal dat . Required onsite,ConstrucHon Plans,Stormwater Plans w/Siit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All wmmercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"`PROPERTY SURVEY required for all NEW wOstrucUon. <br /> I <br /> Dlrectlons:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (A/C pgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing seme <br /> OVER THE COUNTER PERMITTING (Front of Application Only� <br /> Reroofs if shingles Sewers Service Upgredes A!C Fences(PIoUSurvey/Footaga) <br />' Drlveways-Not over Counter 1f on public roadways..needs ROW <br />