HomeMy WebLinkAbout22-5224P17T V*7 IT, Im
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
'X-079"
'00
k,
Mom,
BGR-005224-2022
Issue Data: 11/15/2022
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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
*Z6
1A
CONTRACTOR SIGNATURE PE IT OFFICEU
PERMIT EXPIRES IN 6 MONTHS MTW,=,AR-W9RQ--
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT C1RD FROM WEATHER
G,P,Q uosiads0TVS
: IoNma miDy ao.; pe-4deoov
@�uG aEawojsno
ismoqsno ao j peqdeooy I POAOadd-i
-aeAoosTa/xww uo %v -vsTA
'Pavo,79,48um no %C qej eouerueAU00 Pavo 4TPwl3
-4q9P GTXP 90 UOT400TTOD Oq4 UT
psaanouT a4soo Atm puv '48629-4ux TTV A 04 sesabu
,IOVXO'4snO OtU * TTnj uT pT-ed s-c eoueT-eq TT-4un MON3A
W,mv ;o A416doad qq4 UTumsa TTTA STVT204vm TTY
TTn3 uT pTvd TT 4un 204JU SAW Z AIGAG Pu'e '31-70A 30
UOT40T(imoO ae4gv SARP Z UTTA PTvd 40u ;T GOUeTvq
sq4 o4 peTTddv eq TTTA 00*5U 90 099 04VT V
-NzOm 90 uOT4OTdmOO uodn 9-rqeAvd
emooeq TTTA 8062uqD TvuOT4TPPv Aule tPTA BuOTv
40vxWOO sTq4 30 00ueT-eq eta -POPP-e Oq 09TV TTTA
=OmO-49P94senbea svA 4vq4 4ova4uoo sTi"n uT
PezeAOO 4OU N20A vx4x8 Auv 203 seb2vqO TwuOT4TPPV
p&qsrrqe.7— A-C-7— &4"; 4,r
ao pebzvqo eq TTTA aoqeT 209 squsw4snlpv puv qoG
sTxn uo peon TvTaOlvm ZOJ 8lU8W48nCPV °pe=ojasd
X20A eq4 Pule 4TTnq BUTDuO,; 90 eble-400; T-en40V
exp uo pesvq eq TTT14 bu-rTTTq Tvu-r,; eql -azimauo
SI 7VIXIMN 3Hl XONO IdRKOlsn:) SHI X9 aa'IRDNNVD
Si to am ammaamME-bloa ST Pu,&,a.Ovzr-AuOO
WOD'OOHV2O'dNIM'JVHONO9
LZ9E-OZ9-CT8
M2lVd 1102eV NI eOL'
:uoTqv=oguj qor
'MZ/6T/OT
T abud
96LTT # zsxaoiq
woo - OOqleA@qOuqv=v
woo - moue ous, 4eb - MM
X99 C998-6LL-888 9Z80-CL6-ET8 96LL-6LL-ET8
MCC lePTIOTJ '8TTTqzrAMCT8Z
IS IST OV89
somad MAMY
-ImOD uOan s0uleTvla
00'OOL: uo
V 1; -r-48Tc
00'689 t :-4uewx-ed umoa
00'68zs t :4unomv 40va4uoo
peubTs tr4Tm qTsodep %sT v seaTftbex aoxaa w�mv
I Rp"rXT.T.r-14n. vlarvix,
go AqTUTDTA 04UTPeMMT qq4 UT byp 04 ROMM mov
buxqoejTp Aq peanvo 96*=P Auv aOX X4TTTqeTT TTV
evmssv TTTA aswOlsrlD sail °94*eCqo ao GeUTT peTanq
PO'4xvmtm 19tr4O Auv ZO '89UTT TOT Tasks PDXZVMM
a07 A4TTTqTsuodsea ou seurnsev MoNsa mov *PGXXLM
Pulg PeTeOOT se'c4TTT,4n D-cTqnd pumab=epun BuTweq
209 AlTTTqTGuOds92 etM Omn8sw TTTA HORM MOV
•psAsAxns A4aedoad exr4 eAleq zrewo4sno
eq4 -4vtP PePus'=00ea 8-c IT PG-4vOOT eq -40uu'e0
suTd A4,Tsdoad ;3: -Avezrnowe :rTOtC4 eG-4uw=vn6 AeA Aulg
UT 20 seuTT A4zsdOad buT=ODUOO A4TTTC1fGuOdsea Auv
seumsev sotreqsmnoaTo ou aepun zoNm o0v 94T=ed
PszTdbOx -Auv uTv4qO TTTA XONNa MiDV -asmo4sno
044 tPTA 489a TTvqs GuO-r-4vTn69z PTvs q4TA BuTATdmOO
a09 A4TTTqTsuodsea sq4 4nq 8uOT4vTrtbsa buTuOz
TwOOT 04 8v aMO48M etP OQTAP'e TTexT9 RONRa WOV
°POO 10 840V ao NOTTVPuVA 'esnqV '4u8PTOOV
lesnaTH luoTqeaeqTv 'eOu8bTTbON :aOJ POUBTGOP
PSBVM*p XOJ ebgTeAOO sus-4xe '40u OP 8GT:ltr9a'vA
'GzsumO TvuTbxaO 04 MT409TT 209 slOnPOxd
se-4uvavrib sawn-4ov,;nuvx •kaxvA uOT49Tdmoo
-480d 70,7 A4uvxzlvk zOqv7 OsS -2eumO T-euTb-cao etT4
04 uOT'4vTTv48uT 90 dTqsumrXaOA UO 8408JOP w0ag sema
eCl. 0-1, eOU8Z GAOa.e Oe22UVaVnB 02, 86e3ft qL-Xgj- VgaV-
,RINV�NVM 'dOgVq SWIlSJIq
a5unanN-T -jaK�La3 q mN
SIEEONOO S#09 /M a E LES Isod q-1v
HEVMG'dVH GHIVOO UEGMOd SSE aNIVIS
SEIVS 3lqVM 100Z 9 T
X,DVAI'dd EAOO'dS 'R E09NO1 OAd NVI 9 aT9T -
:804ON
O�9EE PPTJOTA 'GTTTT4JAqdaz
N'I '13AO-10 'IIVS 689L
nVSHO;D VNINV '9 HSOf
:UoTqvu=oguj XOM046no
LT,OVU,LNOO/rlvs0dOucl
xl "I I,
aauaA atuav <6>
INSTR# 2022242147 OR BK10722 PG2487 Page 1 of 1
11/15/2022 09:06 AM Ropt: 2523346 Rec: 10,00 IDS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
W-"
10
$11A 'TJ-W
DIIIIIIIIIIIIIIIIIELOE—Ul—lu
N �=114jortwKw1w
—.7-
MELANIA ROSANOVA-CICEK
Notary Public, State of Florida;
Commission#'HH21383
My comm. expires July 20, 2024
The rOM9ftjV inMrowaym ackwabMed WOM
so bw toft bed
12 -1 "iM
W
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitti,
Owners Name v 141.7tiC7owwtA Owner Phone N tuber
Owner's Address f ����� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS '611
LOT
SUBDIVISION
PARCEL ID#
-35--
2- Ji-
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTRE]
INSTALL
ADD/ALT
REPAIR
SIGN DEMOLISH
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME
STEEL
XESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
T-rvlrlrv-r"rlry rT-T-r1r1-rT-r1rT11-
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E,C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION 2-z-
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS = FLOOD ZONE AREA =YES NO
BUILDER COMPANY E C<
SIGNATURE REGISTERED ;4Y1 �NFEECURREN �Y/N
Address License #
ELECTRICIAN COMPANY E
SIGNATURE REGISTERED ;;;;FEE CuRREN
Address License #E:====
PLUMBER COMPANY E;;-
SIGNATURE REGISTERED ; FEE �CURRE�NY / N��
Address License #
MECHANICAL COMPANY E
SIGNATURE REGISTERED ;;;�FEE C�URREII
Address License #
OTHER COMPANY E
SIGNATURE REGISTERED ;;; FEE �CURRENY ! N�
Address E========= License #
IIIIliffilifil11111 11111111111111 1 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 submittai date. Required onsite, Construction Plans, Stormwater Plans w/ Sift Fence installed,
Sanitary Facilities & I 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 $2600, 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)