HomeMy WebLinkAbout21-311911 26 21 0010 13200 0060
Name: FREDERICK &ASSOCIATES
INSURANCE SERVICES LLC
Address: 16159 Gardendale Dr
TAMPA, FL 33624
03119-2021
ssue• ate: 11/16/2021
5253 6Th Street
Permit Type: Building General (Commercial) Contractor: FREDERICK & ASSOCIATE,'
Class of Work: Wall Sign INSURANCE SERVICES LLC
Building Valuation: $800.00 1
Electrical Valuation: $0.00
Mechanical Valuation: $0.00
Plumbing Valuation: $0.00
Total Valuation: $800.00
Total Fees: $67.50
Amount Paid: $67.50
Date Paid: 11/16/2021 2:36:43PM
REINSPECTION 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.
PI ",'I'll 111
PITRI'Mr-T 101-11 1'1W1;1aMi4 . = ��
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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.
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CONTRACTOR SIGNATURE PE IT OFFICEfj
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
10
lI
--6Cner Phone Number UN
Owner Phone Number F—
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
PROPOSED USE{
TYPE OF CONSTRUCTIO1
DESCRIPTION OF WORK
BUILDING SIZE
=BUILDING
=ELECTRICAL
PLUMBING
ING
MECHANICAL
MffM--7M
I�Rvffl
INSTALL REPAIR
SFR COMM OTHER
BLOCK FRAME STEEL
SQ FOOTAGE HEIGHT
AMP SERVICE PROGRESS ENERGY W,R.E.C,
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY-M OTHER
FLOOD ZONE AREA =YES
M X
EI
M!
A!,
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CU—EIN Y/ / 1
Address License # E=====
ELECTRICIAN COMPANY
SIGNATURE i REGISTERED Y/ N FEE CURREN Y/N
Address License #
PLUMBER COMPANY
�
SIGNATURE REGISTERED Y/ N FEE CURRE—N Y / N
Address License #E=:::::=
MECHANICAL COMPANY E
SIGNATURE REGISTERED YIN FEE �CURREN
Address License #E=====
I As ZZ
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK Y/N
r
Address 7 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 du;mpster; 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 PERMI 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)
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Group Dental
Seniors