HomeMy WebLinkAbout22-5264City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-005264-2022
Issue Date: 11/21/2022
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.
IRIIIII ITIT I INICIR III I I 1 11 1 1 1 1 1 1111
-ILILVII..11.;,-----=,Tmr.amirmI MMrz-Mz-MM=
I• I 11111111111111vII'l ijlliijjil•i� I Ill I � III � 13133M='T�'
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.
1A
--66�NTRACTOR SIGNATURE
PE IT OFFIGE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER i
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
SUBDIVISION
�
PARCEL ID#
WORK PROPOSED
NEW CONSTRF--1
ADD/ALT
11
INSTALL
REPAIR
PROPOSED USE
SFR
Comm
TYPE OF CONSTRUCTION F---J
BLOCK
FRAME
•ner Phone Number
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN DEMOLISH
BUILDING SIZE = SO FOOTAGE HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
to -MECHANICAL VALUATION OF MECHANICAL INSTALLATION
J
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY E
SIGNATURE REGISTERED �YIN FEE �CURREI
Address License #E=---:=
ELECTRICIAN COMPANY E
SIGNATURE REGISTERED Y J N �FEECURR�ENY f N�
Address License #E=====
ANEPLUMBER COMPYREGISTERED ;;;; FEE C�URREN
SIGNATURE
Address License #E:=:===
MECHANICAL COMPANY KAL
SIGNATURE REGISTERED Y/N FEE CuRREN Y/N
Address 1 '5 A R-D 1, J72 License #
OTHER
SIGNATURE E:=== COMPY
ANREGISTERED 1:1 FEE C6`RREN Y/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 & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plua Life Safety Page; (!) set of Energy Foirns, R-O-W Permit for new construc;tion.
Minimum ten (10) working days after submiftal 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 Service Upgrades A/C Fences (Plot/Survey/Footage)
SwiticisKC.Inc RM14017M
Is 111 Keen Uke CT
LWV, F1 33
Date:
///j F
e F � Ji b Name:
G
To: XRAIy&) a Job Location:
Address: —
. Job Phone:
Attn:
Fax: Proposal
2:1011-M)IR � 1� / /S / r-L
Approx
want 5fte Total
job Description
Flo 6, ce)
pa p-
All material is guaranteed to be as specified, and the above work to be performed in accordance with the �.
drawings and specifications submitted for the above work and completed in a subs nt' ianner for the sum o .
All
with payments to be as follows: upon completion of work.
Any alterations or deviation from above specifications involving extra costs
will be executed only upon written order, and will become an extra charge Respectfully submitted
over and above the estimate. All agreements contingent upon strikes, Per SanD s AX
Accidents, or delays beyond our control.
Note - This proposal may be withdrawn by us if not accepted within
Acceptance of proposal _
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do workp)aI190ecified. Paymentwill
be made as outlined above. {
Signature
Date Signature
t
SwftAIC.Inc RM4017000
111 K
F• 1
� f
Date:
job Name;
RFIA a 99U
To: ` job Location
Address:/44 " IS) e, 7Z b -
,
job Phone:
Attn:
Fax:
Proposal 1
�P1�y�h�11s,
Ap rwx
uant Kiz Tip t
lobs Description
f q
40
Do Wd
AZUJ
All material is guaranteed to be as specified, and the above work to be performed in accordance with the
drawings and specifications submitted for the above work and ca feted in a substantial mariner for the sum of:
r I()Yf ?--
with payments to be as follows: upon completion of work..
Any alterations or deviation from above specifications involving extra costs
will be executed only upon written order, and will become an extra charge Respectfully submitted
over and above the estimate. All agreements contingent upon strikes, Per a 1�: �
Accidents, at delays beyond our control
-This proposal may be withdrawn by us if
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do work as spedF, dd.,P„ =,"-wtl+
be made as outhned above. '
j—/
Signature
Date Signature