HomeMy WebLinkAbout21-3098City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
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BGR-0030 8-2021
Issue Date: 10/26/2021
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.
(--�CONTRACTOR SIGNATURE
I
PEf1IT OFFICE0
THOUT APPROVED INSPECTION
813-780-0020
Fax-813-780-0021
Building Department
l
Owner's Name Owner Pir
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
JOB ADDRESS
WORK PROPOSED
PROPOSED USE
4YPE OF CONSTRUCTION
PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTRF-1 ADDIALT = SIGN DEMOLISH
INSTALL REPAIR
SFR COMM OTHER
BLOCK FRAME STEEL
vrA cilN DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
Vir 4E 4L VX I 9UX It V X VX X-VE AE'W'VW V 4L w1rXIVIL' CX VW VW JE �t X-VAL k AL C ltlt'k' I'V Jr 4VII&AAL't 9 VC it AE K x V IL qu�
WILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL W R E.C.AMP SERVICE PROGRESS
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS [ ----------- FLOOD ZONE AREA F-�YES NO
BUILDER CO SIGNATURE REGISTERED Y N FEE CURREN y
Address %i�License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED L _YLN_j FEE CURREN L_y LN_J
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED FEE CURREN Y/N
Address License#
MECHANICAL NSX== COMPANY E
SIGNATURE W REGISTERED ;;Y/ ;N; �FEE CURY / �N��
Address License #
OTHER COMPANY
SIGNATURE FEE CURREN =Ej�
Address License #
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/ Slit 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 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 IT shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
J
Driveways -Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhilis Permit Application F.X-813-780-002i
Building Department
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