HomeMy WebLinkAbout21-3204City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BAR-003204-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/15/2021
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.
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
60WTWOR'SIG�ATUFW"PEJAIT OFFICEf
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PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
NEW CONSTR
INSTALL
OPOSED USE
SFR
TYPE OF CONSTRUCTION
BLOCK
ELECTRICAL
�ZPLUMBING
Im
LOT #
PARCEL ID#
ADD/ALT SIGN DEMOLISH
REPAIR
Comm OTHER
FRAME STEEL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE PROGRESS ENERGY
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Fill out application completely.
Owner & Contractor 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 PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footageil
dways-needs ROW
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS — BUILDING DPPARTMENT
1, and fully understand and agree to the
provisions of this instruAent.
The undersigned states and affirms that he or she is desirous of constructing, renovating,
reroofing his or her own domicile, that he • she actually occupies, or will occupy • _
domicile, and same is not for rent, lease or sale. That he or she shall comply with
conditions:
OWNER'S SIGNATURE DATE
ADDRESS 1-u
PHONE
WITNESS PERMIT
A.Ading to or
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he followirvj-
I/Masterfonns/OwnersAffidavit/Nov07