Laserfiche WebLink
i' <br /> aisaeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding DepaAment <br /> ' Date Received Z� S�� 1 lr� <br /> Phon ContactforPertnittin <br />� Owners Name �pct�.T f ��- l:, f�'�� Owner Phone Number c�13-�SS-�SZo <br /> Owners Address lD� l� �.-�-� �1� J"� � �7 Owner Phone Number <br /> V <br /> Fee Simple Titleholder Name '� 1 Owner Phone Number <br /> Fee Simple Titleholder Address �, <br /> JOBADDRESS l0([�D �.Cl �J�-I � �l: I��- �/'�I�J2-1-I11—�-5 LOT# � <br /> SUBDIVISION �I-��-S ���_ 'S� �PARCEL ID# (?3-?�-Zl'O I��'��CC�" D L�^� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> i WORK PROPOSED e NEW CONSTR - ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ��SFR Q COMM Q OTHER <br />� TYPE OF CONSTRUCTION Q✓� BLOCK Q FRAME Q STEEL Q <br />, DESCRIPTION OF WORK �C�x�Gl- GX� 7 l N�. ��2�EiV 200/h W GLCM OU�3� �.✓I J�.L� 2��C J <br /> BUILDIMG SIZE SQ FOOTA E� HEIGHT � <br /> �BUILDING $ / � ALUATION OF TOTAL CONSTRUCTION <br /> lf' <br /> QELECTRICAL $ MP SERVICE Q PROGRESS ENERGY Q W.R.E.C. / <br /> QPLUMBING $ Sati' I <br /> QMECHANICAL $ ALUATION OF MECHANICAL INSTALLATION � 1 I <br /> QGAS Q ROOFING Q SFECIALTY�Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER 1 �L�� � COMPANY �f��E /'��-�� �1�L<��C-� <br /> SIGNATU h REGISTERED Y/ N FEECURRE� Y/N <br /> dress ��� S C���� � �� ��=� 3 7��o � � Ljce�se�# <br /> � . <br /> ELECTRICIAN , ,COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YI N FEECURRE� YJN <br /> Address License# <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building lans;(1)set of Energy Fortns;R-0-W Pertnit for new construction, � <br /> Minimum ten(10)working days after subm ltal date. Required onsite,Construction Plans,Stortnwater Plans w/Siit Fence installed, � <br /> Sanitary Facilities&1 dumpster;Site Wo Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans lus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after sub ttat date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Wo Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all EW construdion. <br /> Directions: <br /> Fill out applicatlon completely <br /> Owner 8 Contractor sign back of appliration,notarized <br /> If over 52500,a Notice of Commencement is required (AIC upgrades over 57500) � <br /> " Agent(for the contractor)or Power of Attomey(for the o er)would be someone with notarized letter from owner aulhoriang same <br /> OVER THE COUNTER PERMI771NG (Front of Applicat n Only) <br /> Reroofs if shingles Sewers Service Upgrades A/ Fences(PIoUSurvey/Footage) <br /> Driveways-NOt over Counter if on public roadways..nee ROW <br />