HomeMy WebLinkAbout21-2735Z"O"'ity of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-002735- 21
Issue Date: 08/25/2021
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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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PE IT OFFICEU
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED Ilk FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
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Phone Contact f( )r Permittin
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Owner Phone Number
Owner's Name
Owner's Address
Wco i
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Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
LOT #
SUBDIVISION Ui ):Eal PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
El
NEW CONSTR ADD/ALT
SIGN
DEMOLISH
INSTALL REPAIR
PROPOSED USE
SFR COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK FRAME
STEEL
BUILDING SIZE SO FOOTAGE HEIGHT
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=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
41 PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
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BUILDER COMPANY E�FEE �CURRE�N���
SIGNATURE REGISTERED
Address License #
ELECTRICIAN COMPANY E;;;;
SIGNATURE REGISTERED FEE CURREN
Address License#
PLUMBER COMPANY FT Fo Y-1. vr livilli11 0
LA
SIGNATURE REGISTERED Y 1 N FEE CURREN Address
License# A
MECHANICAL COMPANY
SIGNATURE REGISTERED
Address License
OTHER COMPANY
SIGNATURE REGISTERED LLLNFEE CURREN Y/N
Address License # F_
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Ston-nwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AIC upgrades over $7500)
— Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
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W M Ift—MMITI 0"11 IMMEM
INA Ti IAU hmL
Subscribed and sworn'to (or affirmed) before me this
•
as identification.
Commission No.
Name of Notary typed, printed or stamped
Subscribed and sworn to (or affirmed) before me this
by
Who —is/are personally known to me or has/have produced
as identification.
Commission No.
Name of Notary typed, printed or stamped
ZMEWME
PASCO COUNTY Receipt Date:
PASBUILDING CONSTRUCTION SERVICES Receipt Number: 2050869 C 8731 Citizens Drive
COUNTY FLORI A Suite 230
New Port Richey, FL 34654
727-847-8126
NOT A PERMIT
Paid By Check # CC Auth # Cashier ID Workstation
Check 01633954 MLARNOLD BCCCP47L
Fee Des Sljgjj2n Amount Paid
Impact Fee Residential Solid Waste Single Family 36.72
Total Payments: $36.72
PaorAddress Phone
LENNAR
C meats:
1757"
'-24-26-21-0110-00000-2000
39882 HARMON GROVE COURT
While you will be paying your bill with Pasco County Building Construction Services, the full amount of the credit card or e-check fees, NOT shown above, is collected by First
Billing payment services.
niyreportslreportsllproductionIPASCOICustotner Receipt 0frpt Print Date: 06/16/2021 Page 1 of 1