HomeMy WebLinkAbout21-30970
City of Zephyrhills
5335 Eighth Street la1i' 111
Zephyrhills, FL 33542 BGR-003097-2021
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/26/2021
1
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 reinspectiort, 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 I i I I I I ! I i I I i I I ii I I I I I I I � I I F I ii I 1110111ir
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
..... .... .
CONTRACTOR SIGNATURE PE VIT OFFICEt)
PERMIT EXPIRES 1N 6 MONTHS WITHOUT APPROVED INSPECTION
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
INV
..........
Fee Simple Titleholder Address
JOB ADDRESS Fb--4
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NEW CONSTRF--] ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
SFR COMM OTHER
BLOCK E::] FRAME STEEL
BUILDING SIZE
Zl.'PUI
rt-1 VALUATION OF TOTAL CONSTRUC
=ELECTRICAL
AMP SERVICE
=MECHANICAL
=GAS
VROOFING'10 SPECIALTY = OTHER
TION
PRQGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
Driveways -Not over Counter if on public roadways..noods ROW
AA�nv_s
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W,R.E.C.
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED N FEE CURREN Y/
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED L==FEE C.R`R1.
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED N
Address License #E:���
MECHANICAL COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED ;;;=FEE =.RR=1.;;;N=
Address License #E===
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 wl Slit Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdMsions/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 wl 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)
OSTAINED FROM PROPERTY TAX NOTICE)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Depa
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FLORIDA JURAT (FS. 117.03)
OWNER OR AGEN CONTRACTOR t
Subscribed ndsw9i"'do (or affirmed) before thi j ga.
S b -bed ars Ofore, w IN Vh
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Who s/are Do onallfcito me or hasthave uced Whoislare a Q�,�;� to me or hasftve produced
as idenlification. as Identification.
&Y D44fe,g—, 404_4��otary Public Notary Public
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Cc mission No.. Commission No.
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Na e of ot p print or stamps Name of N ry ty d, p ntBd or raped
INSTR#2021220843OR BK10461 PG2981
10115/2021 01:38 PM Ropt: 2365229 Rec: 10.00 DS: 0,00 IT: 0,00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Notice of ConinicIncement
Pernw No Tax Folio No 03- 26- 21- 02 30-000 00- 0130 'tote ofHoltda
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I lie UNDERSIGNED hcr,tby gives notice that improvement will be outdo to ceilain real propert), and in acconlawe Alith Chapter 713, Hixidii
SMUIIC,, the fotlw-ving information is prw, ided in this NOTICE OF CONI'MUNCEMEN'T
I mscriptirm orproputynevaj demipaco, aprolvayt EILAN D PARK TOWNH OMES
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ij)Nanio and Add,es PALACI 0 MARY E
29008 PERILLI PL
WE LEY CHAPEL, FL 33543
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E%jurrainn daft ofneticv expiration date is I year frov" the dMeofmcovding unless adiff—esit date isipecirwd
81'.' IANENG '10 ONI, NEW ANY d 4VMEN't S NIADE RV 1 ILE 01% NER AFT Ell I fit. EXPIRA1 ION OF 1 HE NOTICE OF CONINIENCEMENT ARE CONSIT)f BY[)
IMPROPER PAYMENTS UNOER CIL-�PTFR 713, PARTI, SECTION MA3, FLORIDA %'I -XI ('E'S-VND CAN RESULT IN YOUR I�XYENG TWICE FOP,
I -NIPR( "VEN I FNTS TO VOER PROPE)UV A NOTICE OF CONY'sIFNCENIENTMUST BE RECORDED AND POSTU) ON TFIF JOB SITE BEFORETOF FIRST
INSPECTION. IF i'ou ix]'ENI) TO OBTAIN FUNAXCESG. CONS(4:1'" Trig YOUR LENDER OR AN ATTORNEY IIEFORV, COMMENCING UORK OR RECORDIM;
VOVR NOTICE OF COMMENCEMENT.
%eriflcati.n pursuant to section 92,525, Mrlda statutes, Under pen-,Ifflei orperil'"'. I declare thIt I trod fh,a forelloin? and that The Ei0i in it are inie to itic neat of nis
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