HomeMy WebLinkAbout07-6567
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6567
Permit Number: 6567
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 7050 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-10500-0000
215,000.00
Name: FL HOSPITAL ZEPHYRHILLS
Address: 7050 GALL BLVD
ZEPHYRHILLS, FL. 33542
1,170.00
1,170.00
4/12/2007 Phone:
ADD CANOPY TO NORTH SIDE ENTRY
APG ELECTRIC INC.
BCH MECHANICAL, INC
UI
PLUMBING FEE
117.00
00t ~ tYl~feP"''-I-
'(7/0fr" p~
C~JlR.::hz. ~
n' '5/~
1ST ROUGH PLUMB
CONSTRUCTION POLE
2ND ROUGH PLUMB
DUCTS INSULATED
LINTEL
PRE-METER
REINSPECTION 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.
AL
ELECTRICAL FINAL
PLUMBING FINAL
FINAL MECHANICAL
BUILDING FINAL
SILT FENCE
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.
'-'''l~ · ~~
'~ CON '4fJ..SIGNATURE PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.... .~~_.------------~.__.._. "" -.
City of Zephyrbills
BUIT.DING PLAN REVIEW COMMENTS
ContractorlHomeowner:
-:Do~
Site:
'8-I~-O'
70S0 bOLl \ t~lu~
Date Received:
Permit Type:
C~n~y
Approved wino comments:~' Approved wIthe below comments: 0 Denied wIthe below comments: 0
This comment sheet shall be kept with the permit and/or plans.
Contractor and/or Homeowner
(Required when comments are present) .
Date .
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
March 26, 2007
Plan Review Comments
I have reviewed the plans for the ''New Canopy" located at 7050 Gall Blvd. and my
comments have been placed below. Please contact me ifthere are any questions with
regards to my comments.
1. It was found that there are no applicable codes that would involve fire rescue to
be involved with this addition. Building Department will handle this project.
2. Should the sprinkler system be tied into the canopy, Sprinkler plans shall be
submitted for approval and permit.
Inspections required: None. Building department will perform all necessary inspections
with this project.
No fee was assessed at this time.
813-780-0020
City of Zephyrhills Permit Application, it
Building Department
t-~~'l
Fax-813-780-0021
It'''5~ 1
Owner's Name , I
Owner's Address I 7 D'5'n 6A.(....L- J3 l-.V 1) .
Fee Simple Titleholder Namel SAME
Fee Simple Titleholder Address I
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
SUBDIVISION
I
~ NEW CONSTR r-=J ADD/ALT 0
DO INSTALL ~ REPAIR
PROPOSED USE SFR ~ COMM 0
TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0
DESCRIPTlONOFWORK !AiJj\ CAN!?""I 7() No/S"I-I"'5tf!.E toNe ~~ hbsj)'IT4L-
BUILDING SIZE I I SQ F:OTAGE 1 ~I HEIGHT -- .
11111'1111"111'111111111'11111111'11111111"'1111'1111'111111'111'11"""'111'1111'11'111111"111111111111'tlll,rlll.r,IIII'IIII,III"'I".111111
I'5ME
I
LOT #
JOB ADDRESS
PARCEL ID#136 -- 2-5-- 21-cpl () --l 0500- OO{JO
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
WORK PROPOSED
OTHER
STEEL
~
OTHER I
D
1$ 2-DO, (JDD
,
D ELECTRICAL 1$ I'D; ODD
D PLUMBING 1$ z:;; IJtJ()
D MECHANICAL 1$ 1'l/4
D G.AS ~ ROOFING
FINISHED FLOOR ELEVATIONS I
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY D W.R.E.C. ,~
F1rn.-~-t S/~lp~
q-.JCX_ - CX', 'if .p", \l'hr'-
BUILDING
VALUATION OF TOTAL CONSTRUCTION
VALUATION OF MECHANICAL INSTALLATION
~~.
SPECIALTY 0 OTHER
FLOOD ZONE AREA DYES
DNO .312"'07 j\.k.-t,.('",'",c\ lxsc~
f:J77.!JO
BUILDER
SIGNATURE
l) 1 License #
COMPANY ~ F L..6- L 'TP-.l C
REGISTERED ~ xP N-I FEE CURRENT
License # I
COMPANY
REGISTERED
I
~0~~
Y / N 1)0'
.~ I
Address
l(r ': ~
'( ; UMBER
SIGNATURE
Address
11 -50 I
~ 1:[l?C~RICIAN
SIGNATURE
I
I
-
~
~
COMPANY
REGISTERED
~3J
Address I
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I License #
111111111111111I11111111111111I1111I111111111111I1111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111
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
Attach (3) 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 all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Y/N
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
SIGN PERMIT
DI~~~ii~~~': ' , . . . . , , , , . , , . . , , . . , , , . . . , , , . . , . , , , . . , , , . . . , , . . , , , . . , . , . . . . , , . . . . , , , , . . . , . . , . , , . . . . , , , . . . . . , , , , , , . . . . , , , . . , , . . . . . . . , , , , , , , , , . . . . . . . . . . .
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 Attorney (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 NC Fences (Plot/Survey/Footage)
,~~~.
Driveways-Not over Counter If on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the .contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically 1n~luded.ln the appllcatron. A
permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y !o vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become, Invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job IS conSidered abandoned.
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 YOU TICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117. )
^ OWNER OR AGENT
~Scribed and sworp
'1. ilOO"" by
Who Is/are
^ CONTRACTOR
Subscribed an*s m (0 r
~ '1,d,(j() by
Who Is/are personally known to me
~AJ~h#.p-t~ NotaryPublic
Commission No.
~~d~~
Notary Public
Commission No.
Name of Notary type
ISSION , DO 323041
EXPIRES; June 19, 2008
Bonded ThN NeIlly NlIIc UndeIwrIIeIs
Name of Notary typed, print
Apr 08 08 OS:41a
APR/06/2007/FRI 09:35 AM
BCH Mechanical
(7271803-0S78
p.2
813-780-0020
ZEPHYRHILLS BUILDING FAX ND. 813-780-0021
City of Zephyrhills Permit APPIICatloll
Building Depar*nent
F. 002/0C2
-$~5~1
bate Received
~nerPhone Numb.er
owner Phone Numb~r I
OWner Pilon. Number I
.101'1 ADDflE$S
Owner's Nams
owner's Addre5s I 70S'/) 61>.1.-(...
Fe" Simple TIUeholclef Nllnel SAMG
Fee SImple Titleholder Add",ss I
1'540 E
I
I. LOT # I
PARCEL 10#/35' -;25 ";"2.I-tplQ -I OSO()-: ODt)O
(08TAIHEII fROM PROPERTY TAX NOTICE)
SIGN 0 MOVE D
0 BUILDING
D ELECTRICAL
'0 PLUMBING
0 MECHANICAL
0 GAS
I
~
D
C.ilN,,~ J . 7"
. . I
I SQ FOOTAGE I
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]$ 2-C>Q, ()r/!)
1$ /l).nOD
1$ 5; IJO()
JS 10/4
~ ROOFING
.FINISHIOD FLOOR IOLEVATIONS I
WORK PROPOSED
.. ~. NEW CONSTR
t:J INSTAll
o '5F~
D BLOC!<
I Anj\
o
D OTHER
o STEEL
NO.-Js/i.:Jr Iltc nIo;i'I7>R..
ADDJAL T
REPAIR
COMM
FRAME
DEMOLISH
SUBDIVISION
PROPOSED USE
lYPE OF CONSTRUCTION
~.
OT!"I!R I
DESCRIPTION OF WORK
BUILDING SIZE . I
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BUILDER'
81GNATURE
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.81GNATURE .
Address
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SIGNATURE
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VALUATION OF TOTAL CONSTRUCTION . .
AMP SERVICE D' ~ROGR~SS ENERGY' . D W.R.E.CJ~
'" F/I'Y)_~4 ~/~l.o ~
. ~cX:....-:- Dr, 'ir~"nf\-
VALUATION OF MECHANiCAl INSTALLATION
SPECIAL TV 0
FLOOD ZONE AREA
OTHER
DYES
~~.
DNO ~/.1R,tJ~.d'~
YI
'[) 7 Ucen8e,# I
COMPANY. ~ L.J::;CA-;<,l(..
REGISTERED ~. I'EE C:\IMENT
I
Add__
MECHANICAL I
8IBNATURI: .
Add,... I
~:Ne:TURI: I ;::.~r;:~ L.YL!LJ fCE~
Address I I UQllnle # :,
11111111111111111111111111111 11111111111111111111111111 1111111111111111111 111111111111111111111111111111111111111111111111111111111111111111.1 11111
RIi!8IOENT~L AttaCh (2) Plot Plans: (2) selS of Building Plans; (1) &lit of Energy Forms; R-O-W Permit for new conslruclion,
Minlmum len (10) working d.ys after submittal dale. Required .onslle. Conslruellon Plans. Storm_tel' PI"ns WI Silt Fence ina18l1lld,
.= 8enllllry FaoiliUes & 1 dumpster; Slle Work Permit for subdivi.lonsllarge proJecIs
J'C"OI!MER~ Attach (3) eels 01 Building Plans: (1) eet 01 Enel'llY FOrm.. R-o-W Permit for new construction.
~ ~ Mlnlmum \en (10) working deya aller wbmlttal dale. Required onall9, Con.lNcUon Plana. Slormwater P'ana wI sOt Floce lnalalled.
SanlllIlY "adlilles & 1 dumpsler. Site Wllfk "'..rmil for 811 new pro/eels. NI CGmmerclel 'cquirements must meet oompManoe
AUeoh (2) selll of Engineered Plans.
'-.PROPERTY SURveY required lor ell NEW """slruoUo,;.
.,
COMPANY
REGllSTeReO
~vo. Lioenae #
I ~~Ar)
Y I N FEE CURI<ENT
L1C8ll$~ # 1
L.r.L!LJ
~
51GN PERMIT
. . .
........,..........11......,..................,.........................................................._..............,..111.....................
DlreeUuna: .
Fill oul applicallon completoly.
owner 6 Conlf8ctor sign beck of appllcaUon, nol8r1ZGa
If over $2600,8 Notice of Commen~ement 18 required. (AlC upgrldeS oye.r $SUDO)
Agent (for the oonlnlclor)or Power of AltOmey (tOr !he OWflsr) would be lom8Of\e wiUl nolamed Isller from OW!1er aU'lho~izlng ...ine .
'OVEI\ THe! COUNTER PSRMrrnNG (Front or App/lcaUon OnlYI
Ramo'" Sewers Service Upgrades Ale
<< ..' .
DrlYeWllYS-No1 over ~'!"# Ito" publiC'rQa~Y8..needS ROW
,! ";:'::~:, ,'::'.;; :;;;:: "\).:~~, r'
Fences (PloIISUfVey/Foolage)
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04/09/2007 08:35 FAX 7275300045 APG ELECTRIC
APR/06/2007/FRI 09: 34 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021
81~7Sa-0020 City of zephyrhllls Permit Appll~tl~n
BulIdiIlSI Oepmtment .
141 005
p, 002
ib~hY1---'
Dilte RelOCived
'Cd l,,1/ i) ~
owner.,h0ll8 Mumb~r
~ Phone ~~~r I .. .'
Ownoor. Plionl NIlm.rl.
Owner's Name
JOB ADDRESS
F.. Simple TItleholder Add,... L
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-"~,N!WCONS'1'R B' 'AOD/ALT 0 SIGN 0 MOVE D DEMOlisH
t:l . .INSTALL .. REPAIR
O SFR . ~ .'COMM .D ,OTHER ~..
PR<<;lPOSED USE ~. --
TYPE of CONSTRucTION D BLOCK 0 FRAME '.D SlEl,.. . 'OT~ I ..
If..~L\ . "" ^""'P-/. -rr., NormJ 'S'i .::c ,,~ ~).i~L-
. . I.. SQFOOTAGEI -- -'
,..... '":.... II'''' II" ,'~ " ,.... ""'" .... :..,.. II.... ........ ..........:.. ','1, ....
o IlUILDiNG 1$ Z-b4 fJ!)1'J
o ELE~IOAL 1$
CJ PL\!MBlNG ", ~
CJ MECHANICAl. 1~
o GAs ~ ROOFING
.~INISHED FLOOR ELEVATIONS I
SUBDIVISiON
woRK PROPOSED
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DI!SCRIPTION OF WORK
BUILDING SIZli . r
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VALUATION OF TOTAL CONSTRUCTIoN
MlPSIiRVICIi CJ: 'PROGREl?SENERlll~' "D'" 'w_R.E~
Flm-~-t s/J.1p '/
. ~oC::- -: (X\ 'i" ~~ .
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$PECllll..1'Y D
FLOOD :tONE AREA
01l-iER
t::JYES
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BULPER
SIGNATURE
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RESlbENTIAI. .AIIach (2) Plot Plans: (2) se&! 01 BUllII"; I"lIn5: (1) $M or f!nergy Forms:' R-D-W Permit for new construction.. . .
MInimum 18ft (10) worldllll dayllllfillr 8Ubmltlal da1e. Required onlllll. Con8l1udion p,-, SlannWllter PI.1Ill WI SII Fence In,lalIed.
SlIIlikvY Fedlllllls & 1 dlhl1P*r: Site WoIlC permit for &ubdlvlsklns/lal'ge pt'lIjed& . .
1CO...."l;~ AtladI (3) sell! at Building PIIIns; (1) lilt of EnlllllY Forms. R-o-W PermIt forllew c:onllruoliarl. '. .
~ ~ MJnlmlftll .... (10) warktng tIII11l-- .ubln11..1 dele. Requlrecl Dnslle. CDnstrucIian ~....., StonnWllIsr Plans wI Sill Fenae Installed.
SanibllY Fecllllles & 1 durnpsler. Site WoI\( p'ennit for III nllW projllClS.!'II ClDlll",srcIaI J8q1l118m.enls Ill""" ",eet campll:l.ncll '
Attacn (2) sets of EnglneenKI l>.... . . .:
-PROPERTY SURVEY requ.i!'lld tor aD NEW.~'lrUg\lon.. . ..
D'~~':"..: .... .... TO' ......... ......... ....... ......... ....... ..... ..,
AI out applcallllfl compl8b11y.
0- . Oontl=iclor sign back of appllcallan. llDlarlzed
If emir $2100. II NaClIlCl at COmmencemlll'lt Ia .nJqulted. eNC IIpgrades aver SSIlllDI . . '
Agllllt (tor ihe Contractor)' af Power ", AIlD~ (fOr the owner) wculd be ~mllOl'le with Illllariz~ IlIltllr.from. ~ lII:I'IIia~:d'" '-.m.. .
.OVER TtfE COUNTER Pl!IOIrrTING (Fnmt of ApJIUcation OnlYI . . .' ..
Renxlfs SlIWeI5 15enilce Upgrades AlC Fences (PlotlSulvllJlFoolaQe)
. - -~,. .:.... -'. ..:.... 'l:
DrlV~Not avet'Ciiunter If PI'\ p&4IIIq'rqlI'll.......n...ds ROW
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MECHANICAl.
SIGNATURE
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OTHER
SIGNATURE
COMPANY'
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APR/06/20Cl7/FRI 09: 35 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021
R13-7S'.....;. 20 City of Zephyrhills Permit AppllcallOlI
Building Department .
p, 002/002
..t~6~ 1
Owner's Name,
J
J'
-!
l.' LOT# L' ]
PARCELID#r3c5.....z5....2-l-tolO-loSc>()- ()D()O J
'. (OBTAINED FROM PROPERTY' TAX NOl'ICE) .
..' ~ . NEweONSTR. CJ ADD/AL T 0 SIGN 0 MOVE D DEMOLISH
U INSTALL CI REPAIR
PROPOSED USE 0 SFR '0 COMM 0 OTHER ~ ~
TYPE OF CONSTRUCTION D BLOCK CJ FRAME: 0 STEEL . OT~e,R I I
DESCRI.nONOf WORK I Auj\ L-ANr;ry 7b No;tr1:l <Sl~F eN'Er I'J':: ~">-1 ml- . :
BUILDING SIZE . L 1 5Q FOOTAGE ~ I HEIGHT L ~ m_
UI'" 11111111' "111'1"" I' I'" Ill"') I" 11111' 11'111' I'~ 11111" I"'."" 11111'" III; 1111" 1'1111' '-;:-11111' 11111111111" II: '11.11.1111111111' lilT'"
D eU~LDING 1$ 2-Do, OTJ1J 'l' VALlJATIDN OF TOTAL CONSTRUCTION
D ELECTR.ICAL 1$ fD,~D I AMPSERV''''' D ..""ORESSENERGY. O. W.R.E,C]
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'D PLUMBING ~ ~ tJDO ]. t:JCX-~ D('''\~-Pe:\rnr\'
o MECHANICAL [$ N/4 I
o GAS ~ ROOFING D.
FINISHED FL.OOR ELEVATIONS I I
Date Received
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Owner phone Number
o~ner phone ~urnb~r I
oWner phone Nllmb~r I
sUBDIVISION
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WORK PROPOSED
VALUATION.OF MECHANICAL INSTALLAT.ION
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SPECIAL TV D
FLOOD ZONE AREA'
OTHER
DYES
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571.S-D'
BUILDER
SIGNATURE
Address z..
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8IGNATUR.E: _
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"b7 License, # L
COMPANY . ~ E. Lt::;ZA--p..,,1 ("
REGISTERED ~N. I. FEE C!JRRENT
License # l
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Addre$s
MECHANICAL I
SIGNATURE .
Address r
OTHER I. CO"~ANY L ., ~
SIGNATURE . RE:GI9TERED L Y I N J FEe CURRENT Y f N
Address [ . J . License ~ .' L l
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Address
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SIGNATURE!
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COMPANY
ReGISTERED
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License #
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms;' R-Q-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required .onslle. Construcllon Plans. Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site work Permit for subdivisions/large projecls
Attach (3) eets of Building Plans; (1) set of Energy FormS. R-O.W Permit for new construction.
Minimum ten (10) workinQ days after &ubmlttal date, Required onsile, ConstNctlon Plans, Stormwater Plans wI Sill Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work P'ermit for all new projects, All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans. . '
....PROPERTY SURVEY required for ell NEW construcllon.
RI:!SIDENTIAL
~
SIGN PERMIT
I I I I I r , , , I I . I I . " . I . I I I . . I . I I , , . . . I . . . 1 t , I . I . I I I I I , , I , I . . . I I I , I I I . . . I , ' , , I . . I ~ ~ . r I , , . I I I I I I . .. . I I I , , I . . . . I . 'r , , . I . I I I I , , . . . I . 1 , j I I . I . I , , I . . I . I I I I II L.L ..
DirectionS: ". .' .' . .
Fill out application completely- .
Owner & Contractor sIgn back of application. notarized
If over $2500, a Notice of Comm8n~ement 18 required, (AlC upgrad!!5 over $5000). . . ,
Agent (for the contractor)' or Power of Attom~y (tOr the owner) would be someone with nolarlzed letter .from ow~er autho~zlng same .
'OVER, THE! COUNTER PERMllTlNG (Front of Application Only)
Reroofs . Sewers Service UPw~des Ale
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DrlveWIIY6-~~t o,,;er9~u.~t~r If. Qn.publi~ rqad:wars ..!leeds ROW
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APR/06/2007/FRI 09:34 AM
81 :3-7~O-0020
ZEPHYRHILLS BUILDING FAX No, 813-780-0021
City of Zephyrhllls Permit Appl1Catl~n
Building Department '
p, 002
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JOI3 ADDRESS
Date Received
J
'1
O\nlnerPhoneNumb~r
OWner phone Nu~b~r I
Owner. Pl\one Number I.
Owner'5 Name
OwnerlsAddres~ ,r7~~/') 6A~'-
Fee '''''p1e Titleholde, "emel5AMG
Fee Simple Titleholder Address [- .
. ~ . LOT # r.
PARca 10#[36,.215 ....2-l-tolO--l 0560- OODO'
. (OaTAlN~p FROM PROPERTY TAX NOTICE)
,,' ~ . NEW CONSTR r-J 'ADD/ALT D SIGN 0 MOVE D DEMOLISH
o . IN5TALLCI R~PAIR
PROPOSED USE 0 SfR . B .COMM. 0 OTHeR .1 .. __
TYPE OF CONSTRUCTION D aLaCK 0 FRAME . D STEEL 0" OTHeR. I
::~::::OF7RK IAUj\I~:YarA::i NoRW ~/rH:fY I}(: ~>>T~L- .
:lTTTTTl111l1111 'I" 111'11'1"11'" "" .1111; ~ ""'" 111'11111 J' \11111111\111111"; 11111; II" 11'1:1111111' \111' '11111111'" I ,.,.".. 1.1" "1'1' II" 'IT
o BUILDING 1$ . 2bD, ODt> r VALUATION OF TOTAL CONSTRUCTION . . ,
D ELECTRICAL 1$ ] AMP SERVIC!: D. . PROGRE~S ENERGY' . D WoR,Er....Ci.)S
, lD;ODD _ F/I''()-~-t S/J.l,rJ \~
D PLUMBING ~ 5; Of) () J . . ~OC- ~ (Xl'lr .p.;{'rn"r\- .
D Mf:CHANICAL 1$ N/4 I VALUATION OF MECHANICAL INSTAlLATION
D 13AS ~ ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR J;LEVATIONS I .1 FLOOD ZONE AREA DYEsDNO 5~'lfirl:.,t-J~.h€c.l'~;';'ta.
sua DIVISION
1<5~E
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WORK PROPOSED
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'671,5-0
BUILDER
SIGNATURE
Address
l1~ .,-0
~ ~I:Ec"TRICIAN
. SiGNATU~E
License #
I COMPANY
REGISTER~O
I COMPANY
REGIST~ED I Y/.N
Ucens8 #
~~
SIGN PERMIT
fill out application completely,
Owner & Contractor sign back of application. notarized
If ovltr $2500, a Notice of Commencement Is ,required. (~C upgrades over $5000) '. .
** Agent (for the Contractor)' or Power of Attorney (for the owner) would be someone with notarized letter ,from. oWl)e~ a~'tho~~lng same .
'OVER TH~ COUNTER p~RMlmNG (Front of Application Only) .
Reroofs SeWers Service Upgrades Ale Fences (Plot/Survey/Footage)
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