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5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
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BGR-003066-2021
Issue Date: 10/22/2021
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.
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.
CONTRACTOR SIGNATURE
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813-780-0020
City of Zephyrhills Permit Application Fax-813-780-0021
Building Department -7A, V 4 3 3 �
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Owner Phone Nukilber
Owner's Address
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Owner Phone Number
Fee Simple Titleholder Name
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Fee Simple Titleholder Address
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LOT #
SUBDIVISION
PARCEL IDS
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRE] ADD/ALT
INSTALL REPAIR
SIGN DEMOLISH
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
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BUILDING SIZE
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=BUILDING VALUATION OF TOTAL CONSTRUCTION
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=OAS ROOFING SPECIALTY
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
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=YES NO
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RESIDENTIAL AttacK(2�PlOtPlans� (2) iisti�6U B611ftPlans; (1) set of Eneroyfoirra*, ROI Permit for new construction,
MinimumAen (MlyprldrI"ay"fle(s6witiall dI Required o
Sanitary Facilities & 1 dumpster, Site Work,Permit for subdivigiona/large projects
COMMERCIAL Attach 1 9 1 Plans plus a Life Safety Page; (1) aai� 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 Installell
Sanitary Facilities & I 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.
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 (Front of Application Only)
Reroofs If shingles Sewers Service Upgrades A/C Fences (PlottSurvey/Footage)
Driveways -Not overbountar_lf on',public" midi" ay's"..Wob 'ROW