HomeMy WebLinkAbout21-3179M fy-o- f Ze-p-
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
4 MEN
BGR-003179-2021
Issue Date: 11/12/2021
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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.
CONTRACTOR SIGNATURE
PEV OFFICEU
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813-780-0020
Date Received
Owner's Name
Ownses AddressE
Foe Simple Titleholder Name
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PAOPOSED USE
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=BUILDING
=ELECTRICAL
=PLUMBING
=MECHANICAL
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NEW CONSTR
INSTALL
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Building Department
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Owner Phone Number
LOT # [::=
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(OBTAINED FROM PROPERTY T NOTICE)
ADD/ALT SIGN DEMOLISH
REPAIR
Comm OTHER
FRAME STEEL
VALUATION OF TOTAL CONSTRUCTION r-L— 0 16 -0 '3 a9f,�'_?
AMP SERVICE PROGRESS ENERGY = W,R.E.C.
VALUATION OF MECHANICAL INSTALLATION (47-
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED L7== FEE CURREI\
Address License #
ELECTRICIAN COMPANY FEE CU�RRE�����
SIGNATURE REGISTERED YIN
Address License #
PLUMBER COMPANY E
SIGNATURE REGISTERED ;;N: FEE CU�RREII
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MECHANICAL COMPANY E
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SIGNATURE REGISTERED
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/ $01: Fence installed,
Sanitary Facilities & I 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 SURVEYirequired for all NEW construction.
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)
Driveways -Not over Counter If on public roadways..needs ROW