HomeMy WebLinkAbout21-3216 (2)City of Zophyrhills
5335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
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BAR-003216-2021
Issue Date: 11/17/2021
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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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.
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k.1 SIGNATURE PE I OFFICE
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JBDIVISION Fxl
rORK PROPOSED
ROPOSED USE
fPE OF CONSTRUCTION
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NEW (-ONSTR
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ADDIAUT
INSTALL
REPAIR
SFR,
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BLOCK
FRAME
(OBTAINED FROM PROPERTY TAX NOTICE)
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ESCRIPTION OF WORK -c)6--, /
UILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W_R.E.C.
=PLUMBING
VALUATION OF MECHANICAL INSTALLATION
LLATION
=GAS ROOFING SPECIALTY = OTHER
'WISHED FLOOR ELEVATIONS F__�___1 FLOOD ZONE AREA =YES NO
WILDER COMPANY ;IGNATURE g I REGISTERED LII_Nj FEE CURREN Y/N
Address License#
4
4�z 2", 6�11
ELECTRICIAN COMPANY L�a= o(i_ Y/N
AGNATURE REGISTERED Y/ N FEE t 1EIN,
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Address dltL License # 177_
'LUMBER COMPANY 0"fil
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31GNATURE REGISTERED Y I N FEE CURREN YIN
Address License #
MECHANICAL COMPANY 1"M / Ids A't a') r//
SIGNATURE REGISTERED LY±N J FEE CURREN
Address License#
OTHER COMPANY ad ie
SIGNATURE REGISTERED YIN FEE CURRET\ Y/N
Address pf'11100r"
J License #E7- �_R� =
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 wl Silt 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 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. (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 AIC Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
OWNER OR AGENT i A
Su scribed and sworn f 61,
{or aff
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Who is/are personally kii�owi�to-m-e or has/have pr
as identification.
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PAIWMA BURCHEIT
my commum #GG365171
EXPIRES: AUG 13, 2023
Bon* MUM 1 St Stw Imurance
31 '15 'i"li �10