HomeMy WebLinkAbout22-4344City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542 SL-004344-2022
Phone: (813) 780-0020 Issue Date: 07/07/2022
Fax: (813) 780-0021
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Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed ir
accordance with City Codes and Ordinances, NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
T GTOR SIGNATURE I'E
IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
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INSTR#2022149743OR IBK10648 PG Page 1 of 1
07/08/2022 11:10 AM Rapt: 2477503 Rec: IO.00 QS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Paco County Clerk & Comptroller
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I 1 W a aa2a iffy of Zephyrhills Permit Application Fax®813-750-0021
Building Department
Date Received I I .. ` P ]'� I ��r'ma�a�B"4e'sa�e4�a�4: ,m.�� u�f&o-n 9
Owneft Name 7"t
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Owner Phone Number
Owner's Address
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Owner Phone Number �t7
Fee Simple Titleholder Name l l Owner phone Number
Fee Simple Titleholder Address
JOBADDRESS � �% � LOT
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WORK
PROPOSED
INSTALL REPAI6
PROPOSED USE SFR Comm
TYPE OP CONSTRUCTION BLOCK FRAME
DESCRIPTION OF WORK, �'o
t1ILIN
ELECTRI AL
RLUMBIN
MECHANICAL $
OAS ROOFING
FINISHED FLOOR ELEVATIONS [::=
OTHER
STEEL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE RR RE S ENERGY
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VALUATION OFIMECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
BUILDER
COMPANY
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SIGNATURE
REGISTERED
FEE CURREN Y
Address
License #
ELECTRICIAN
COMPANY
SIGNATURE
REGISTERED Y ! N
FEE CURREN Y (�(<
Address
License
PLUMBERCOMPANY
SIGNATURE
REGISTERED Y t
FEE cURREI, =
Address
License #
MECHANICAL
COMPANY
E;;j
SIGNATURE
REGISTERED
FEE�CURREN Y N
Address
License #
OTHER
COMP:ANY
SIGNATURE
REGI$TER U y f
FEE CURREN Y
Address
h'&
License #
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RESIDENTIAL
Attach (2) Plot Plans, (2) sets of Building Plans (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days'after submittal date, Required omit,, Construction
Flans, Stormwater Plan$ w/'Silt Fence installed, "
COMMERCIAL Attach �(2) complete sots of Building Plan$ plus a Life Safety 04gic (1) Set of Energy Forms. R-O-W Permit for�new construction.
Minimum ton (10) working days after submittal date� Required onsite, Construction Plans, Stormwater Plans w/ SIR Fence1notalled,
Sanitary Facilities & I dumpster. Site Work Parmit1or alIDOW projects. All commercial requirements must meet compliance
SIOMPERMIT Attach (2)�"�df Engineered Plans.
all NEWS construction,
uIrectronso
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 ntractor) 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)
Roroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways,,needs ROW
Mre m Subscribed and swo to
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Notary Public
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Notary Public
Commission
Name of Notary typed, printed or stamped Name of Notary typedi printed or
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ORt)I OF CrRIC kL
REVIEW DATE
JUN 0
2OZZ
CITY
PLAN
EXAMINER
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168
IL 35973 Saddle Palm Way Patio
Alan and Irene Fuller
35973 Saddle Palm Way
Zephyrhills, FL 3 541
1 architectural request found. 1
Appr vrCreated., Jun 1, 2022 Details
Modifi s : Jun 21, 2022