HomeMy WebLinkAbout21-3259City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BGR-003259-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/24/2021
Permit Type: Building General (Residential)
A am
0
M9 IN
12 26 21 0040 00500 0060 5404 23Rd Street
"M
N
Name: MARIA L DIAZ LLC Permit Type: Building General (Residential) Contractor: EJ CO
Class of Work: Reroof (Shingle Only)
Address: 31801 Spoonflower Cir Building Valuation: $6,000.00
WESLEY CHAPEL, FL 33545 Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation: $6,000.00
Total Fees: $70.00
Amount Paid: $70.00
Date Paid: 11/24/2021 11:37:40AM
laAK016II&MI
Building Permit Fee $70.00
/ ell
�RCIOFING
40
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
[ 1 0
IN -
PEJAIT OFFICE()
10 k ia 0 0 #11 1* it
a ttoj J, ITA :4
813480-0020 City of Zephyrhills Permit Application
Building Department
Date Received Phone Contact for
Owner's Name I 1 -10 1/- / 0 / - / a "-'— Owner Phone Number
Owner's AddressE:::::������ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION E==== PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
El INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE _= SQ FOOTAGE HEIGHT
=BUILDING $ (0 0 VALUATION OF TOTAL CONSTRUCTION
--T--
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
T�
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
;1 01 A I
=GAS ROOFING SPECIALTY F--1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY i f 0 o )v 'yJ v
I
SIGNATURE REGISTERED YIN FEE CURREN L_XIN_T
Addres tf License # C- 6
Qlz
ELECTRICIAN COMPANY —----]
SIGNATURE, REGISTERED Y �/N FEE CURREN =Y =N
Address License#
PLUMBER COMPANY J=N
SIGNATURE REGISTERED FEE CURREN
Address License# F-
MECHANICAL COMPANY E
SIGNATURE REGISTERED ;Y/ �N�F FEE C U �RR E I, �Y I
Address License #
OTHER COMPANY FEE CIJR�REK����
SIGNATURE REGISTERED
Address License #E:====
If If 1 111111111 11,111 1 1 If I If I I I I I 1 111111111 111111 111111 fit I I III I I I I 111 111 11
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 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.
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)
==R1 11 1 11 � i I 1111, 111 � � I � I i I i i Ifflul -IM411 I III I - I
INSTR# 2022063443 OR 6KI0573 PG3509 Page 1 of 1
H
03/17/2022 11:17 AM Ropt: 2430784 Rec: 10,00 IDS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
_n
ALUM a �livl
4=77611 1
-8-0 ................... ...........
Cr
M
State Of Florida, County�
This is to certify that the foregoing is a
true and correct copy of the docurnent
on file or of Public record III this office.
Witness my hand and official seal this s '
L �rf
�day off _ 2 02gd
Nikki Alvarez-Sowles, Esq., Clerk & Comptroller �
Pasco County,(Fl rida
�5
Sys Deputy Clerk