HomeMy WebLinkAbout21-2604Issue Date: 08/04/2021
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
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Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE
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MPI.►
PEJOIT OFFICE()
ITHOUT APPROVED INSPECTION
111! 91 11! Pla
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
410, 111r,",
Owner's Name
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
JOB ADDRESS 1v rmy)
SUBDIVISION EEI
PARCEL IDS
i! � 1:
LOT
, 2 — a I DII
WORK PROPOSED NEW CONSTR
INSTALL
ADD/ALT
REPAIR
(OBTAINED FROM PROPERTY TAX NO-nCF-)
SIGN DEMOLISH
PROPOSED USE SFR
COMM
OTHER
TYPE OF CONSTRUCTION BLOCK
FRAME
STEEL
�'W ,
BUILDING SIZE L----= SQFOOTAGE= HEIGHT [:=
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
PLUMBING
MECHANICAL
AMP SERVICE PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
W.R,E.C,
N. F'10 Q*11 N,
X9 Rol
=GAS
ROOFING SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
=YES NO
BUILDER
COMPANY E:Y�
SIGNATURE
REGISTERED
FEE CU�RREN
Address
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License #E==--=
ELECTRICIAN
COMPANY E
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SIGNATURE
REGISTERED
C�URREN
Address
License #E===:=
PLUMBER
SIGNATURE
COMPANY
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i/e-)w I YY 41014110
REGISTERED
Y/ N FEE CURREN Y/N
Address
License #
MECHANICAL
COMPANY E
;;;;�FEE
SIGNATURE
REGISTERED
CURREN
Address
License #E=====
OTHER
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COMPANY
E
;;; FEE �CURREN�
SIGNATURE
REGISTERED
1 N��
Address
License #E=====
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms;
R-O-NV Pen -nit for new construction,
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