HomeMy WebLinkAbout21-3159City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
BGR-003159-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/08/2021
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed ir.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
1:14 :4 6 112 *:q:j 10*4 - ' I lot
IJ
PEfIT OFFICEU
ITHOUT APPROVED INSPECTION
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin ...
Owner®s Name l Owner Phone Number `='t6 U I �)
7Z . r r
Owner's Address .,� � -„ ._ �=-- m .. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ....r ,. _.. LOT #
SUBDIVISION PARCEL ID# — Y 1 d O
(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
BUILDING SIZE SO FOOTAGE
BUILDING 1 ,, �-J
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN Y I N
Address License #
ELECTRICIAN COMPANY
SIGNATURE, REGISTERED �/N FEE CURREN Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y I N FEE CURREN Y/ N
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y ! N
Address License #
OTHER ?} COMP Y `
SIGNATURE REGISTERED Y/ N FEEiRREN` Y I N
Address f � � � �S License #
11Ia1111wI1111111I1lHIIIII�IIIIIIIIIIIIIIIIiN11�111111I11Ilil�l�i11
RESIDENTIAL Aftach (2) Plat 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 wt 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 w/ 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.
.4.41411
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)
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
INSTR#2021241538 ORBK10481 PG437 P-,- i of 1
11/0812021 09:11 AM Ropt: 2376012 Rea: 10.00 DS: 0.00 IT: 0.00
S/H Nikki Alvarez-Sowles, Esq,, Pasco County Clerk & Comptroller
Permit No. Parcel 10 NO
NOTICE OF COMMENCEMENT
State Of County of -ra-11
THE UNDERSIGNED hereby gives notice that Improveraftnty4ft be Made to certain real Property. and in accordaT,,:,- *y"n (11-All"i 17r-711"k-�w"V st-hAT--
%1W10
1 General Description of Improvement
UINNIEMy�
If the Lessee oontracted for the improvement
Interesi In Property:
Name of Fee Simple Titleholder.
(It efferent from owner listed above)
4.
eery
Contractor's Telephone No.: state
ite
5. Surety,
Cdh State
Amount of Bond: $, Telephone No.:
6. Lander
Lender's Telephone No.:State
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 71313(l)(aX7), Florida Statutes:
Name
Address City o State
Telephone Number of DesWudad Parsee:
8. In addition to himself, the owner des4nates Ot—
to recahre a copy of the Uenora Notice as provided In Section 713.13(l )(b), Rodde Statutes,
Telephone Number of Person or Entity Designated by Owner.
g. Expiration date of Notice of Commencement (the expiration date may not be before the compleden of construclim and final payment to the
contractor, but wild be one year from the date of recording unless a different deft is specified):
REC 6 AD to AND -P'O'S' T'E"0"-O N* YRE —JO B-'S' 11FT YO e- ` " 11 % � V MU; --R C E 4.AIT AWT BE
EZE BEFORE THE FIF U INTEND TO OBTAIN FINANCING,CONSULT
1:
W1TH YOUR LENDER OR AN ATTORNEY FORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
Under penalty of pedury, I declare that I ham read the fo ng notice of commencement and that the stated
Of MY knovilodge and belief. reglal feels therein are due to the beat
STATE OF FLORIDA
COUNTY OF PASCO
SHERRYMONER
•turof Ass", or
C-10113(on # GG 162748 Offlow/DirecelorAlarmselviamager
ExPirOS1OOM1100,2021
The ftWolnq instrument was admowwgod badere me thia Signatoty's ThIs/Ofte am., hot", attorney In fact) far
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5335 W" St
MUT.Mr.1019i ; "
ROOFING INSPECTION AFFIDAVIT
Permit No.:j32L'c)().3
licensed under Chapter 468, Florida Statutes as a(n):
Contractor F Engineer— Architect_ Building Inspector_
License No. C C C - If-- Y--) V -Z-
On or about —LL �q did personally inspect the:
Check: Roof Deck Nailing--L.:L— Dry in Flashing and Drip edge-L--�
Check which was used: 30# felt— Peel and Stick Other (List)
At the following
2eitirp-,r- cz-� f 7,0L, PA
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes).
Signature;-142��
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscribed before this day
BY:
Notary Public State of Florida