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Home My WebLink About23-5656City of Zephyrhills 5335 Eighth Street oZephyrhills, FL 33542 Phne: (813) 780-0020 Fax: (813) 780-0021 BAR-005656-2023 Issue Date: 02/24/2023 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, accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. . .. . ..... ........ ... CONTRACTOR SIGNATURE PE IT OFFICE RA V ---e--�70 PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i %.,ity of i,epr''yurim5 rrerrnit /Application Building Department f� F`,iSiTFt71'+STIIfft<l+il Date Received Phone Contact for Permi Owner's Name Fee Simple Titleholder Address„ JOB ADDRESS I LOT # SUBDIVISION AJ14 I PARCEL ID# LL-f (� ._ G' / (OBTAINED FROM PROPERTY TAX NOTICE) WORD PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH 9 INSTALL REPAIR PROPOSED USE SFR COMM OTHER PE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK BUILDING SIZE a SQ FOOTAGE HEIGHT BUILDING ELECTRICAL PLUMBING MECHANICAL GAS « 1 IOt,'\._ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED E;��FEECU�RREN Y I N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRER Y I N e Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y / N FEE CURRER Y / N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED E;;;;; FEE CURRER Address License # OTHER COMPANY t SIGNATURE REGISTERED YIN �FEERRER Y / N Address License # 1l1111l/111/Ilfllllllflllllllllllllllfl/11l/1111111111/1111111111/1 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 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, (AIC upgrades over 7500) d 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) Driveways -Not over Counter if on public roadways..needs ROW have read and fully understand and agree to the provisions OtiS instrument. The undersigned states and affirms that he or she is desirous of constructing renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occup� byygdjj,;��71 said Iomicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: OWNER'S SIGNATURE,"'.- DATE /14 �b ADDRESS I -f thilk L 3Z')l PHONE IMSM1111 I/Masteifonns/OwnersAffidavit!NovO7 M, m 900-1 900-1 900-1 900- 900-1 1000 700-1 400-1 300-1 1400-1 1400-1 600-1 MM Permit No, Property Identification No.__, C)DI, 0 oo- 61 61 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain =1 property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. I.Description ofpropary (tegal daertpdon.) a) Sheet Address: . A 2.0eneral description of improvements: 3.Owner Information I I j, 6! i 4 a) Name and address: '� 'I ! ` j11f " 11 1 "i A ��, b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4,Contractor Information a) Name and address: 62 6 b) Telephone No.: . .. . ......... . 5.Surety information a) Name and address: b) Amount of Bond: c) Telephone No.: Fox No. (Opt.) 6,Lmder a) Name and address: Phone No. 7. Identityithinth address: Of Persou�N State of Florida des' by owner upon whom notices or other doctrmetrts may be sarved: a) Name a b) Telephone 8.1D addition to himself otter designates the following person W rcive a copy of the Lianor's Nokia es provided in Section 713.13(lXb), Florida Statutes: a) Name and address* A b) Telephone No.: IF;!: No. Q 92xpiration date of Notice of Commencement e expirationdideisOne year from the date of recording unless a different date is specified): •. Vk? THE EXPIRATION OF THE NOTIC-L"U 461 Al #004. 14191`041NA . ' 1040*1141111 •10 wild, is F Oil WN192411,11,11 11 IND F INSPECTION. IF YO11 III-MA41 F- MWW, MIM], COMMENCING wORK OR RECORDING YOUR NOTICE OF COMMENCEMENT - STATE OF MORWA COUNTY OF PASCO The f gg instrument was acknowledged before C, as in fact) or o Owner or Owner's Authod UA' OffiW/D4cW&PW#W"WM- Pri aroe this day 1_Jff. �f 20 2-by (type, fauthority, e.g. officer, trustee, Woraq (name of party on Personally Known OR Produced IdentificatiWNotary Signature 9—/ K jj Type I of Identification Produced-�E -bgt�6C�0'tame(wint) Verification pursuant to Section 92,525, Florida Statutes. Under penalties of pedury, I declare that I have read the foregoing and OW the facts stated in it are true to the best of my knowledge and belief. Signature ofN pmm Siping Abaft F0RMSWQCrWV= jACQUEUNEIIOGES Crninissjon #NW 32B52 12, 2ON I