HomeMy WebLinkAbout21-2737City ot zephyrhills
5335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-002737-2021
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.
I'llifflilliffli'lli T• lill Fi•r JiM ME.]=
0 MM=
I aMIA=m�,anjAppilication. All worK snall De pefformea in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIG TU E PE IT OFFICE
PER-diff 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
-3�=
e Owner's Address A 0 <11
Lo
Fee Simple Titleholder Name
I
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID# Jq— (9 C — 3, 1 — 0I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT
E
INSTALL
REPAIR
PROPOSED USE
SFR
Comm
TYPE OF CONSTRUCTION
BLOCK
FRAME
SIGN DEMOLISH
OTHER
STEEL
BUILDING SIZE SO FOOTAGE = HEIGHT [:=
-T-r-r1r-T I 7T-r . . . . . . . T-rlrlrlrlrl"
E::]BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL ----- -------- --- ----------
[Y]PLUMBING I � NJ - ---- ----
=MECHANICAL
AMP SERVICE PROGRESS ENERGY = W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
E::]GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
C E
REGISTERED ;;;�EE �CURRE�N Y �/N
BUILDER COMPANY
SIGNATURE Ly� F
Address License #E=====
E ;;;FEE �GURREN
ELECTRICIAN COMPANY
SIGNATURE REGISTERED
Address License#
PLUMBER COMPANY PH' 44- 61.
e"t + V1
SIGNATURE —ca REGISTERED Li= FEE CURREN LZY 1 N
Address License#
MECHANICAL COMPANY E
SIGNATURE REGISTERED �Y / N�FEE CURREI
Address License #
E ���FEE �CURREN
OTHER COMPANY
SIGNATURE REGISTERED
Address License #
IIf11111111111111111111lifeIIIIf11111 E1=1 11=1 1=11=11 =11 1111RESIDENTIAL 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 clumpster; 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/Foota9l
•
It Wes y� N U 2 K x 'Al 10 U
AMR IM I H 1MIV 10, it'' m T1121,11111111111M, In" IMM
! 'V
OWNER OR AGENTV Gf J,
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
BRUITRIMMMIL
•
by
Who islare personally known to me or has/have produced
as identification.
Mlzsff•
Name of Notary typed, printed or stamped
RM