HomeMy WebLinkAbout21-3129BNR-003129-2021
Date:Issue
CONTR CTOR SIGNATURE RE IT OFFICE
INSPECTIONPERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO1
CALL FOR + HOUR NOTICE REQUIRED
PROTECT WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
:==
Phone Contact for Permitting
Owner's Name
Owner Phone Number
Owner's Address
Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
[::491:2:8�thSt,
�Zeph�yrhills, �FL 33542
LOT # 09
JOB ADDRESS
SUBDIVISION
PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTRF--] ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE
SFR COMM OTHER
TYPE OF CONSTRUCTION
EZ:] BLOCK FRAME STEEL
DESCRIPTION OF WORK
jE
F, 29
BUILDING SIZE
SCIFOOTAGE HEIGHT
--CIL JL IL ILAU ILIL-Vx IL IL IE !UX 1LX'1E-V XAE IL-X V1UX1LIUW.'1E_X VVXAL 1UIE'V1E__X It, VIE X X-1 VAL V W1
=BUILDING
120,000
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
F--16,000
AMP SERVICE PROGRESS ENERGY W.R,E.C.
=PLUMBING
18,000
=MECHANICAL
6,500 VALUATION OF MECHANICAL INSTALLATION
GAS
ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS
E:2=
FLOOD ZONE AREA =YES NO
J Bryant Construction INC.
BUILDER
COMPANY
COMPANY
SIGNATURE
REGISTERED X/ N FEE CURREN Y/N
6017 Pier P1 Dr. Lak and, Fl. 33813
License #E�����
Address
ELECTRICIAN
COMPANY
_
SIGNATURE
REGISTERED Y/N FEE CURREN Y/N
Address
License #
PLUMBER
COMPANY
SIGNATURE
REGISTERED FEE CU�RREI
Address
License#
MECHANICAL
COMPANY
SIGNATURE
REGISTERED Y/ N FEE C�URREI
Address
License #
OTHER
COMPANY
CURREN
SIGNATURE
REGISTERED FEE
Address
License #E____==
Pr-_qInI=KITIA1 4ft.,h 19N DW P10— 19N —tc of R.61,fi Plan— 11 \ t of I=nornii Pnrmc- P-n-W Parmit fnr no— --fri -finn
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
I N
_,Niwllli,-
Fninj, �as, or
other installations not specifically included in the application. A permit issued shall be construed to be a license -to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from
thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work
authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a
period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to
exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered
abandoned.
92011029=9=1 I MW 101111
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
b
Who is/are personally known to me or has/have produced
as identification.
Subscribed and sworn to (or affirmed) before me this
b
Who is/are personally known tome or has/have produced
as identification.
Commission No
Commission No
Rum