HomeMy WebLinkAbout21-3178City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003178-2021
Issue Date: 11/12/2021
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY .... C.O.
CONTRACTOR SIGNATURE
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PEJAIT OFFICE()
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-002e
Building Department
Date Received Phone Contact for Perrnittin
Owner'sName, Owner, Phone,Num r
ner"Address, Owner Phone'Number"
Fee Simple Titleholder Name Owner Phone: hiumber
Fee SIM01a`TitleholderAddress.; -
JOB ADDRESSSUBDIVISION
N!im
LC?T
" t�eTAINED PkOMP06P'itkTY=T ' ,t4OTiCE)
WORK PROPOSE? NEW.COPIST R A QDIALT SIGN DEMOLISH
EJ INSTALL REPAIR
PROPOSED USE SFR Comm OTHER,
TYPE OF ONST°RUCTt N BLOCK ,FRAME STEEL '
DESD9I0I N O . ` ORtt
BUILDING SIDE SO FfJfTAE 1iElF1 r" `_
,
E FIILDINCx VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL, $ AMP SERVICE PROGRESS ENERGY W.R E.C.
PLUMRING $ .
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
CAS OOFINC3 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N
BUILDER COMPANY,
SIGNATURE REGISTERED ''YIN, FEFCUIRAEN,Y/NVI
Address License
ELECTRICIAN, COMPANY
SIGNATURE RE RECaiST,ERED Y/' N F ECURREKY/;
Address License #
PLUMBER "COMPANY
SIGNATURE Riolsi&6 ;;;��F�F,�CURRCN
Address License
MECHANICAL COMP
SIt3NATtJRE REGISTERED ,Pi$, FEsCURREI1
Address License ,
OTHER' COMPANY
SIGNATURE a REGISTERED Y /';N FEE CURREN
Address, � License # ,
J!, 1 llA ,l I rA ..ua.I
RESIDENTIAL Attach°OititF�tar1s, (2 site of Su(ldipggy rrrros, R� errnit for ne,ansarwlon,
MinlrvtunT ten (90) worktnj keys effei' �iibi'�t$ cfa${e:`Re�literl'otisit�i��dtl�lfctie��r�plerre, t'�rrrav�eterl�ierrs ual;SiitFerrih'stelled,
Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects
COMMERCIAL Aiiaoh (2) ., tnplat gets of Building Plans plus a LIf Safety ges(1) set of Energy Forms R-O-W Permit for new constructiom
Minimum ten (10}..V�orking�d y after ubrriittdl.t(atp.>Rr qulr" ,dnsit � onstruction Piarts� tp ,. veter:Ple� w/;Silo an "aiTstalled;
Sanitary,Facititles .l:dumpstsr.,SIteWork'Permit4orall new projacts. All commercial re quird,mehta,iliust,hl t�comptia'ce,,
SIGN PERMIT Attach (2) Plans. - ,
"*"PROPERTYSUIRV Y)tequired-for all N W.construction.
Directions:
Fill out application completely.
Owner k0or tractor `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 PERI , NO (copy of contract required)
Reroofs if shingles Sewers Service U rades 'A/C' "Fan` s (Plot/Survey/Footage)
Driveways -{dot over Counter if on public roadways. needs ROW