HomeMy WebLinkAbout21-2736City of Zephyrhills
5335 Eighth Street
Zephyrhills, Fl- 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-002736-2021
Issue Date: 08/25/2021
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80l 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 relinspection.
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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CONTRACTORSIGl PE IT OFFICE()
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL 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
Phone Contact for Permittin
1
—
1
Owner's dame
Owner Phone Number
Owner's Address
i t
r
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
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Fee Simple Titleholder Address
JOB ADDRESS
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LOT #t
SUBDIVISION
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PARCEL ID#
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(OBTAINED FROM PROPERTY
TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT
11
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
PE OF CONSTRUCTION
BLOCK
FRAME
SIGN DEMOLISH
OTHER
STEEL
BUILDING SIZE Sty FOOTAGE HEIGHT
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 m FLOOD ZONE AREA =YES NO
UILDER COMPANY
SIGNATURE E:=:= REGISTERED Y ( N FEE CURREt Y / N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED ;;;;;�FEE CURREN
Address License #
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SIGNAT UF2E C+kk'R OMPAR YD FEE CURnf YN
Address License# c �e
MECHANICAL COMPANY
SIGNATURE REGISTERED ;;; F�GURRE�t,Y/ N
Address License # E
OTHER COMPANY
SIGNATURE REGISTERED ;;; F�GURRF�1,Y / N
Address License #
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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, Stormwater 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. (A/C 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
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
-by
Who islare personally known to me or has/have produced
as identification.
Notary Public
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.