HomeMy WebLinkAbout21-3107it of Zephyrhill s
5335 Eighth Street
Zephyrhills, FL 33542 BGR-003107-2021
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/28/2021
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.
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE
PE IT OFFICEf
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WOUT-AR.RRMEM-MR-REC.M. tg--
KUT
813-780-0020 City of ZephyrhillS Permit Application Fax-813-780-0021
Building Department
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PROPOSED
NEW CONSTRR ADD/ALT
REPAIRWORK
INSTALL
PROPOSED USE
SFR Comm
TYPE OF CONSTRUCTION
BLOCK FRAME
DESCRIPTION OF WORK
SIGN DEMOLISH
OTHER
STEEL
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
$
AMP SERVICE PROGRESS ENERGY
W.R.E.C.
PLUMBING
$
MECHANICAL
$
VALUATION OF MECHANICAL INSTALLATION
U, '
GAS
ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA =YES NO
BUILDER
COMPANY
SIGNATURE
REGISTERED Y % N FEE CURREN
Address
License #
ELECTRICIAN
COMPANY
SIGNATURE
REGISTERED Y ! N FEE CURREN
Y / N
Address
License #
PLUMBER
f
COMPANY
-
-ct,
SIGNATURE
REGISTERED Y(/ FEE CURREN/
Y I N
Address
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wafd �V%icense # t
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MECHANICAL
COMPANY
SIGNATURE
REGISTERED YIN FEE CURREN
Y t N
Address
License
OTHER
COMPANY
„t3NATURE
REGISTERED Y / N FEE CURREN
.
Address
License #
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RF_Qinr- "nAi Affa,4, I'M
PW Plane ON cafe of R,difiinn Piano- (iN oaf of Mmam%i 9Z rm F?- \Al R®rmif fnr nave r nafn irfinn
50% remainder upon completion
Acceptance of propo The above prices and specifications are satisfactory and are hereby accepted
You are authorized to do the work sp above
:7�e above
(Authorized Signature)
Date:
Proposal Submitted by (ARS/Rescue Rooter) Date:
This proposal is subject to change if not accepted within 30 days
American Residential Services of Florida, Inc.
3340 SCHERER DR SATE. A
ST. PETERSBURG, FL 33716
Tel 727-497-4967
Tel 727-497-4974
TAMPAPERMIT�-C4
CONTRACTOR AUTHORIZED FORM
MA01W11.9;
QUALIFIERS NAME:
BUSINESS NAME:
I AUTHORIZE THE FOLLOWING INDIVIDUALS TO SIGN FOR AND OBDAIN PERMITS ON MY BEHALF
** THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED AUTHORIZATIO'JS**
First Name:
Last Name:
Lori
Smith
Brittany
Zachman
Charles
Wohlever
Kevin
Kubacki
Signature of qualifier:
State of — County of
P�j', LAUREN PFLEIDERER
WNotary Public - State of Florida
e', Commission #HH013389
my Comm. Expires Jun 22, 2024
I 21 12:48 PAS Rept 2374 6 : t01 LDS. U. iT, 0
Nikki Alvaro 1 , Esq., Pasco County Clerk& Comptroller
PeariftNumber
Paml ID Number E.
NOTICEOF COMMENCEMENT
State of Flo
dounty of Mslao--O ty Of 7LIP11V r h i I I
THE UNDERSIGNE0 hereby l;ives notice that improvements will be made to certain real property, and in acmrdance Oth Section 713,13 of the
Florida Statutes, the following fnformation is provided in this NOTICE v,
MENCEMENT
o:
3.Owner Information or Lessee to tton I the L � c for the unprovernenc
e) Marne and addres
bj Name and address of fee simple titleholder (4 different
4.0ontractor Info don
Owner fisted e)
Name and address: ARS Resoue Rooter 13340 N Scherer Dr #A, St Peurnburg, FL 33716
b) Telephone tom.; 727-58&4200 Fax No- (optional)
,Su (if apptt ble> a mpy of the payment bond Is at# ed)
a) Name and ad s: _ .
b Telephone No,: .
c) Amount of Bond: w
A Lender
a)Nwnearidaddres& NIA
b) Telephone ND.,
T, Persons within the State of Florida design ed by Owner upon whom notices or other documents may be served as provided by Section
713,13 (1) (a) 7., Flonda Statutes:
a) Name and address, NIA
b) Telephone No.: _ Fax o,: (optional)
S. a) in additionto hi 9f or herself, Owner designates _ of
to a copy of the Uenor's Notice as provided in Section 713,13 (1) ()a bride Statutes.
bj Phone Number of Person or entity designated by Owner,
t Expiration deie of notice of cornmemarnerit (tire expiration date may not be before the COMP10410n of 0onstruction and final payment to the
contr for but will 1 year trorrr the , of recording unlessa different date is s I ): A
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