HomeMy WebLinkAbout21-3143City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FIL 33542
9GR-003143-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/0412021
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.
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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.
PEJOIT OFFICIEC)
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813-780-0020
Date Aeceived
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
JOB ADDRESS - 9[ ,
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PROPOSED USE
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ELECTRICAL
PLUMBING
MECHANICAL
GAS
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NEW CONSTR
ADD/ALT
INSTALL
REPAIR
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FRAME
LOT #
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SO FOOTAGE HEIGHT
$ VALUATION OF TOTAL CONSTRUCTION
$ AMP SERVICE PROGRESS ENERGY W.R.E.C.
$ VALUATION OF MECHANICAL INSTALLATION a
ROOFING SPECIALTY
E� FLOOD ZONE AREA
YES NO
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BUILDER COMP Y t' N
SIGNATtRE � REGISTEREDY / FEE CURRE����e
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Ef 7 License #
ELECTRICIAN COMPANY
SIGNATURE ' REGISTERED Y / N FEE CURREN
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED ;Y/ N �FEECURREN�Y/
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED ;;;��FEE �CURREN
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN 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 $500, 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)
City of Zephyrhills
53358 1h St
(813) 780-0020
Permit No.:
7
y
licensed under Chapter 468, Florida Statutes as a(n):
Contractor— Engineer— Architect— Building Inspector_
License No.
On or abet_ 9 �9�0 did personally inspect the:
Check: Roof Deck Nailing Dry in — V-11 - Flashing and Drip edg,.
Check which was used: 30# felt— Peel and Stick_I (List)
At the following
address: r7,2o'T' , 4.5A Ire A 4 ( —Dr, Ve'
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Notary Publiplic State of FIZI t
4 e�d Geor"na Eleanor Cliio
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My Commission HH 135146
Expires 06127/2025