HomeMy WebLinkAbout22-5356M-t-y-oR-Z-epWy-r-MTrs-
5335 Eighth Street
Zephyll FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
IT
Issue Date: 12/09/2022
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 remspection.
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,
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
MM
AIXW
51 •750-0020 City Of Zephyrhills Permit Application Fax-813®750m0021
Building Department
Date Received
Phone Contact for ermittln
_ .
"V `
--
Owners Name
t t
�o "°� � � � � +� Owner Phone Plumber
Owner's Address
g
� �� 't
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee SimpleTitleholder Address
JOB ADDRESS
a
� 4
LOT #
SUBDIVISION
,._ PARCEL ID
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR ADDIALT SIGN
DEMOLISH
INSTALL REPAIR
PROPOSED USE
SFR COMM OTHER
PE OF CONSTRUCTION
BLOCK FRAME STEEL
DESCRIPTION OF WORK
D:Eo],�
BUILDING SIZE
ffi
SO FOOTAGE
HEIGHT
BUILDING
ELECTRICAL
PLUMBING
AIUECHANICAL
GAS
FINISHED FLOOR ELEVATION
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
COMPANY
REGISTERED
COMPANY
REGISTERED
E:=== COMPANY
REGISTERED
I
License # L
N FEE CURREt,
License #
N FEE CURRE>d
License #
N FEE CU
License #(RaEt,
T
OTHER COMPANY
SIGNATURE REGISTERED YIN FEE CURREr' Y f N
Address License # .w ..=
Rill 111111Rill t111111111t11MItiI1111/Iit111f1I1111l11111M11l111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; P-O-W Permit for new construction;
Minimum ten (10) working days after submittal date. (Required onsite, Construction Plans, Stormwater Plans wf Silt Fend Installed,
Sanitary Facilities & 1 dumpster; Site fork Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page, (1) set of Energy Forms. P-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wf Silt Fence installed,
Sanitary Facilities & I dumpster. Site Mork 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. (AIC upgrades over 75 0)
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 FLOW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions
which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with an
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If th
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violatio
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for th
•
OWNER OR AGENT ---
subscribed and sworn to (or affirmed) before me this
-bv -
Notary Public
Commission No.
WHOM "M
IM
i.'7 aw 12,2022