HomeMy WebLinkAbout21-3202it of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BGR-003202-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/15/2021
02 26 21 0210 00000 1560
6717 Basswood Circle
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Name: JOAN MIDGETT
Permit Type: Building General (Residential)
Contractor: SCOTT BLACKMAN
Class of Work: Reroof (Shingle Only)
ROOFING INC
Address: 6717 Basswood Circle
Building Valuation: $2,400.00
ZEPHYRHILLS, FLORIDA 33542
Electrical Valuation:
Phone: I Mechanical Valuation:
Plumbing Valuation:
Total Valuation: $2,400.00
Total Fees: $52.00
Amount Paid: $52.00
Date Paid: 11/15/2021 11:29:55AM
REROOF CARPORT AREA ONLY -----
Building Permit Fee
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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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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.
CONTRACTOR SIGNATURE
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813-780-0020 City Of Zephyrhills Permit Application - ®' �'-W41
Building Department R
Date Received Phone Contact for Permittin
Owner's Name ° ON, rN C Owner Phone Number
Owner®s Address ko Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
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JOB ADDRESS
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SUBDIVISIONE:=== PARCEL ID# cg
(OBTAINED FROM PROPE TAX NOT CE)
WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR EDCOMM OTHER
PE OF CONSTRUCTION BLOCK FRAME STEEL
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BUILDING SIZE SO FOOTAGE HEIGHT
BUILDING $ .
VALUATION OF TOTAL CONSTRUCTIO
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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 �;Y�NFEE URREN Y I N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED ;;Y ;/;N;�FEE CURREN Y I N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED �YIN�FEE CURREN Y / N
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED ;;;�FEE�CURREII Y J N
Address License #
OTHER ry COMPANY gY
�SIGNATURE REGISTERED N FEE CURRER Y % N
Address License #
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Flans; (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 flans 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 S 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 (copyof contract required)