HomeMy WebLinkAbout06-5654
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5654
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 61060 12TH ST
ELECTRICAL SERVICE CHANGE ZEPHYRHILLS, FL.
ELECTRIC SERVICE REPLACEMENT Township: Range: Book:
NOT APPLICABLE Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0020-00500-0021
600.00
ROMAN, ALLAN
61060 12TH ST
ZEPHYRHILLS, FL. 33542
352 206-0869
Name:
5.00 Address:
5.00
4/13/2006 Phone:
SERVICE UPGRADE & ELECTRIC REPAIR
U,unPOb
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REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
~-.
GNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City ot LepnyrnIIIs permit AppllcaIlon I "A-U ,,,-, UV.VVL I
Building Department --:r;;;h ("\ z..s L --'t z ^I-I '3'7' I
Owner's Name
a.. V'\
Date Rec.elved
Owner's Address
Fee Simple Titleholder NamJ
2 fh V' C +
PARCEL ID#I02- -dCo -~ ( - 002.0 - ro<::::OO - DO 2./
(OBTAINED FROM PROPERTY TAX NOTICE)
D NEW CONSTR E3 AD DIAL T D SIGN D MOVE D DEMOLIsH
D INSTALL REPAIR
PROPOSED USE D SFR 0 COMM D OTHER I : .
TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D OTHER I .
DESCRIPTIONOFWORK I [;e"-III(e. Uo (;-ifJOF.( -I- (Ie. Reffl/r. I
BUILDING SIZE I ! sa ;OOTAGE I I.. H~.I~':':'..!....",..."".""..!,,,.,,,,,,..,,,,,,,,,, ,
.11.11111....1111...................1111... .......11.......................................
D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
. . r e\}(.\'-' ~
~ ELECTRICAL :$ d j'-{ 00 ItfI;l9AM';;";;V1~ ~ PROGRESS ENERGY
D PLUMBING $ l_
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
...111......'...11,......11..11...11..'1'1111...'............11...11111.."...,.......................'.'1.........11......111.....11111111..'1111.
I
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LOT #
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
D
W.R.E.C.
'35- pu':', +.
S- &d .ADO
per":, ~.
BUILDER I
SIGNATURE
Address I
ELECTRICIAN~~ ~5i
SIGNATURE . ~
Address. q) c.... C-f-.. ~
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
{4;..,rp:/1 ~!l"c8-l'~ M c-
YI N FEE CURRENT I Y/N I
License # I [5LI506/'3'??
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
I
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
II , . . . r I IIIIIII I' IIIIIII1II , , I , IIII , III1IIIIIII , , , , , IIIIII , , II till' 111111111 , 11111 t III11III , 1111111 , II , II , III1III , I111IIIII1II11111 , I , , 1 , , , IIIII ,
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction. .
I I I I ~ ~ ~ j . j j I j I j I ~ I . I I I I I . I I j I I I I I I I I I I I I I I I I . I I I I I I I I I I ", I I I . I . I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I i I II I I I I i I I I I I I I 1.11 I I I I I Iii I I i I i I I I i I Iii
Directions:
Fill out application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)