HomeMy WebLinkAbout21-3225City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
BGR-00322 -2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/19/2021
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 563.80(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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
PE IT OFFICE
ITHOUT APPROVED INSPECTION
0 411 .. 1
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City of Zephyrhills
5335 8th St
Permit NQ3-.:L
licensed under Chapter 468, Florida Statutes as a(n):
Contractor -/Engineer — Architect —
Building Inspector
LicenseNo.
On or about did personally inspect the:
Check: Roof Deck Nailing_ Dry in Flashing and Drip edge
Check which was used: 30# felt_ Peel and Stick_ Other (List)
At the following ;- 14,-
address: r:3 xc
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 551844, Florida Statutes),
Signature:
STATE OF FLORIDA I r— 1."'L - -Z' t
Sworn to and subscribed before this day
"Y
BY:
Notary blic State of Florida
INGRID ROSARARIO
4 # GG 987406 MY COMMISSION # GG 987406
EXPIRES. May 12,2024
Bonded Thru Notary Public Uncle rwrttors
-0020 City of Zephyrhilis Permit Applic ax-813-780-0021
813-780 ation 01
Building Department
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Date Received Phone Contact for Permitting
Owner's Name Owner Phone Number
Owner Phone Number
Owner's Address 1 32132 eta--teulu
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL I D# , �Slffl �-6
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR� ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK kloolZA ok eA4- U)'/-# 3 P 1A)l -/I
BUILDING SIZE SO FOOTAGE HEIGHT
-r1r1r1r"r"r1r"1- 7
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING r&
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY E
SIGNATURE REGISTERED ;;/ N;�FEE GURREN
Address License #E------==
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN, Y/N
Address License #E-------==
PLUMBER COMPANY E�;� �FEE CURREN����
SIGNATURE REGISTERED License #E===:=
Address
MECHANICAL COMPANY E;� FEE CU�RREII
SIGNATURE REGISTERED
Address License #E=���
OTHER COMPANY Akopa(-
SIGNATURE l lveK�
REGISTERED N FEE CURREN /N
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/ 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 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 $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 I Service Upgrades A/C Fences (Plot/Survey/Footage)
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