HomeMy WebLinkAbout21-3294City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003294-2021
Issue Date: 12/03/2021
REINSPECTION FEES: (c) 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.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFOREc.6.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
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PE fIT OFFICEU
I MRHWA-4110-111
11 A ;Izue Jlayh-: MGM,
813 780-0020 City of. ephyrhi(,s Peardt Application Fax-813-78&,0021
Building Department
Datrt e pteceived Pitons contact for Perr i10
ownefs 'Naine 07PENDOOR PROPERTY TRUS I I Owner Phone Number 720-233-3203
Owners. Address E503:9UMMER HIEL D&RIVYE, Owner phonir Number
Omer Phn. Number
Fee Simple TWelholder Address
JOS ADORESS 5039 ;7UNIMEP HILL DRT�--, ikiPYRHILL S, FL 335 �22
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SUDIAWSION PARCEL Wl 12-26-21-0100-00000-01130
IOSTAINF-D FROM PROPEIRTYTAX NOTICm
WORI(PROPOSED --j NRV COKSTR AN -01,ALT
LJ INSTALL REPAIR
PROPOSED USE SrR Cols i OTHER
TYPE OF CONSTRUCT1014 BLOCK FRAhIE STEEL
DESCRIPTION OF WORK F4(Z�L ELECTRIG WATER fig TER REPLACEMENT
SLflLDING SIZE SQ L -OOTAGS HrIGHT
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=WLDING I - VALUATION OF TOTAL CONSTRUCTION
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=GLECTRIC-AL
=PLUM8040
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=PAECHANICAL
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VALUATION OF ki-ECRANIQAL INSTALLATION
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=GA-S = ROORNG SF-IGIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
Wit ' DeR COMPAey L Fla-r Pe AA,$�
SIONATVRE L]Y) �N
Address
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ELECTRICiAN COMPANY
IGNATURE
ReaN, S FERW
Address Loense* L
PLWASER COMPANY
WONATURE IL ---------------------------- j I
Address
license 0
MECKMCAL CONTPANY
SIONAWIRE REGISTERED
Address Licanse#
OTHER ..,dPA"y
StONATURr
Address License 44
St PATE. Attwh 121 Plot Plarur� (2) sels of Br W-krit Plan'; (Ti get 01 Es gV Forma; R O-Wairurnit far newronesoobc,,,
I 'AhMum ton (Wj woAfiro dav s afle.f%mbanta) Drew Required oneffa, C.110truonon M"P" ans, SiSIO"nio, �— � OCR F.— in.teg--1
' Sanitary Facifta a I dumpirer: Site ofom Pirmlit
COMMERCIAL Arach (2,, complete sets of BUilding Plarrs;Aus a Life Safety Page: II) got of Energy Foad-k. R-OLW Poffnit, for nau, conat, uctjon.
minimiap ten (10) seirking clays after subrniftai date. Required onsite, Coristamton Plans, strson'ater Plans "d sift FA�Tce Installed,
sarit" ra=" & I durnpster. site t'volk Pemrk N, W mvpnec", AU ammercia; reQuIrernents must mente-Trafierma
SIGN PERMIT Allacil (2) sets of ERWnesirod piano,
—PROPERTY SURVEY arquired for a0 Nlaq construction.
Fitt out application oornplrdeS,,
0',ner & Confi—ts, sirl" Back of epreficat"On' notenzed
If over $2500, a NOTice Of Commencement is required, (ArC upgrade* over $7600)
A Ilan t Our Me G on Im rA or) 0 r P a rm� r of AV vm ey (for H V Men ef) riou Id be a orl lei) ne vol 11 P, ot a ft ad feter frarn rer-n U. a uthr IL'j no a an " e
ovrmR rHE couNTF-R PERmirn-ta (copy or N'tract required;
Pe 00fiq if �w nalw 8'%"a'a %ric Upgades A,,'C Fences
Duns Rys Not over counbe-ft On pnbIc '—d—s-naads ROW
7-
15
rImprovement Agreement: Page 1
Richard Kir�T ,,.
Sales ison
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Florida Delta Mechanical, INC. LTA MECHANICAL, INC,
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5039 Summer Hill Drive Liephyrhills
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wax .. � .'�«w�vmrce aasmYwvu�w. � mw.i �mwn rew�
Acknowledged by:
Date
Bldg. B-3, Atlanta, G 3033mer Core., 1-800466-3334
Gexent LeadtPO#k v 60.0.0
Home Improvement Agreement Page 2
Payment ot 117, 1 nu act _rrifzu I ty
below or in a payment addendum.
Contract Price: $ 5 �1, 1 1. o ��— Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ (If applicable, total amount of taxes included in Contract Price)
0
Date
[1 E/l/2L=
The Home Depot Digital Signature Date
For questions related to your installation, contact Service Provider at 888-536-9181
For any other concerns, contact The Home Depot at 1-800-466-333 7
The Home Depot - 2455 Paces Ferry Road, N.W. Bid& B-3, Atlanta, Georgia 3W39 - Customer Care, 1400466-3337
268 Water Heater (21 Jul. 21) (C) Generated Date LeadtPO# v 64.0.0