Laserfiche WebLink
; <br /> 813-780-0020 City of Zephyrhills Permit Application Fax�13-780-0021 <br /> , Building Department <br /> F� • Date Received /� �7 � phone Contact for Pertnittin 7 ��7? <br /> r <br /> OwnersName ' � OwnerPhaneNumber ��� '7J�`"�53� <br />, Owner's Address � � T Owner Phane Number <br /> Fee Slmple Titleholder Name Owner Phane Number <br /> Fea Slmple Tltleholder Address � <br /> JOBADDRESS � �� � Z ��I'� 5C� LOT# 'v <br /> SUBDIVISION PARCEL ID# / -' � �� —lJ <br /> WORK PROPOSED � NEW CONS7R e ADD/ALT � SIGN NEO FR�OM PROPERTYT�nc�DEMOLISH I <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK /,�vLil� (..� w �dro .S I <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> I QBUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��-� <br /> OMECHANICAL $� VALUATION OF MECHANICAL INSTALLATION ��� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE a��isre�o Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br />, <br /> Address License it <br /> PLUMBER COMPANY <br /> ISIGNATURE rtEClsrE�o Y/ N FEE CURREN Y/N <br /> Address License# <br />� MECHANICAL -•• •-�-COMPANY 1 <br /> SIGNATURE REGISTERED ` Y/ N ,�e curtrt�h Y/N <br /> Address 1 �/Q � —{�Q(' � (/� ��'�3 �� License# G � /7 y <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1 1 1 1 t 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAI. Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Permit for new cansWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Pertnit for new construction. <br /> Minimum ten(10)working days after suhmittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facil'fies&1 dumpster.Site Work Pertnit for all new projecLs.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Diredions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appfication,notarized <br /> If over§2500,a Notica of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Frant of ApplicaHon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />