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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$S Owner's Nams owner's Addre5s I 70S'/) 61>.1.-(... Fe" Simple TIUeholclef Nllnel SAMG Fee SImple Titleholder Add",ss I 1'540 E I I. LOT # I PARCEL 10#/35' -;25 ";"2.I-tplQ -I OSO()-: ODt)O (08TAIHEII fROM PROPERTY TAX NOTICE) SIGN 0 MOVE D 0 BUILDING D ELECTRICAL '0 PLUMBING 0 MECHANICAL 0 GAS I ~ D C.ilN,,~ J . 7" . . I I SQ FOOTAGE I I r I" .111111" ow. "111 ., III'..." I . 0" TII"" '11" -,."".,..... ......... ]$ 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 'J 1111'......., '-"," r....": 'I' '1111111111 f f 'I 1111.' ..., II" "'"II" '671,5'D BUILDER' 81GNATURE Add,.... z.. ~L7~~~N I .81GNATURE . Address r JtJ":~R SIGNATURE r I I I o I 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) \t>tO ,)- "': ' . ,\-..... ~...... :1 .i :l I _11:_.., :....... j . ~'~.~.,: ';l. i:../" .~': ;:'-,1 : i (., "".. . 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 I SAtv? E" I . :=J .. Lon . I PA~IlJjJ[6'5~2.6..-:2-I-tolO-l 0560- bCtlO' . . jOllTAIJlItDJlRqIlPRDI'I!IUYTAXN01ICE) -"~,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 ..~ I DI!SCRIPTION OF WORK BUILDING SIZli . r . ,.~ . fl:J 101)1) ~ /)1>0 . 1'l./4 I" I J. VALUATION OF TOTAL CONSTRUCTIoN MlPSIiRVICIi CJ: 'PROGREl?SENERlll~' "D'" 'w_R.E~ Flm-~-t s/J.1p '/ . ~oC::- -: (X\ 'i" ~~ . .~~. $PECllll..1'Y D FLOOD :tONE AREA 01l-iER t::JYES .DNO """,~~"c:l~n I .' VALUAT~~ OF MI!~ICAL INSTALlATION:. fin.S-c BULPER SIGNATURE CJ . -I'. Add.-ss . l1.5~?o 1( 11l:I!CTRIClAN . 8iGNA1'U~li YI lJ1. UCllll$e# I COMPANY ,IA"HL. .t:=LF~e ~.; ulYob" ~ ~~. I'III!~T. ~ /)D'.' 140tb7:Ave N Ste K Clearwate~ FL 33762. I ECoOOO486 ~ , . "I CoMPANY REGlSlSIlED AddnlSS I 00' or Ll(JiABER l 8IGNAlURE _ . Addtess I I COMPANY '1'll!8lSlER1!D I I. I .'AcId,... I .,' "~!e# .'1. I 1111111I111111111111I1111111' 11111111I1111111111111I11111I11111111111111'111111111111111111I1111111 i 1I111l111111l11llil 111..11I1111111111111111111 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 $2100. II NaClIlCl at COmmencemlll'lt Ia .nJqulted. eNC IIpgrades aver SSIlllDI . . ' Agllllt (tor ihe Contractor)' af Power ", AIlD~ (fOr the owner) wculd be ~mllOl'le with Illllariz~ IlIltllr.from. ~ lII:I'IIia~:d'" '-.m.. . .OVER TtfE COUNTER Pl!IOIrrTING (Fnmt of ApJIUcation OnlYI . . .' .. Renxlfs SlIWeI5 15enilce Upgrades AlC Fences (PlotlSulvllJlFoolaQe) . - -~,. .:.... -'. ..:.... 'l: DrlV~Not avet'Ciiunter If PI'\ p&4IIIq'rqlI'll.......n...ds ROW ~! ::,~~t:,~.; i~'r'::;.;i;~:> ~ ;:: J~;~:::})~ MECHANICAl. SIGNATURE Ul:tW Addroc:c .1 ; Llcena.ft1 OTHER SIGNATURE COMPANY' IUlGISTEREP Y I III I '. I'll! CUMENT ~ SICilN I"I!RMIT / ~,~ ~-, .: -~'/:'\~:l":.! "'~.":' . ! .., " . ~ '. ,.. / . ..T.... .' ~..:t i ,,;;" I (> .! '\~,,:.' ./ --\. --..-' :, ~:"::".:~..:~' -:' APR/06/20Cl7/FRI 09: 35 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 R13-7S'.....;. 20 City of Zephyrhills Permit AppllcallOlI Building Department . p, 002/002 ..t~6~ 1 Owner's Name, J J' -! l.' LOT# L' ] PARCELID#r3c5.....z5....2-l-tolO-loSc>()- ()D()O J '. (OBTAINED FROM PROPERTY' TAX NOl'ICE) . ..' ~ . NEweONSTR. CJ ADD/AL T 0 SIGN 0 MOVE D DEMOLISH U INSTALL CI REPAIR PROPOSED USE 0 SFR '0 COMM 0 OTHER ~ ~ TYPE OF CONSTRUCTION D BLOCK CJ FRAME: 0 STEEL . OT~e,R I I DESCRI.nONOf WORK I Auj\ L-ANr;ry 7b No;tr1:l <Sl~F eN'Er I'J':: ~">-1 ml- . : BUILDING SIZE . L 1 5Q FOOTAGE ~ I HEIGHT L ~ m_ UI'" 11111111' "111'1"" I' I'" Ill"') I" 11111' 11'111' I'~ 11111" I"'."" 11111'" III; 1111" 1'1111' '-;:-11111' 11111111111" II: '11.11.1111111111' lilT'" D eU~LDING 1$ 2-Do, OTJ1J 'l' VALlJATIDN OF TOTAL CONSTRUCTION D ELECTR.ICAL 1$ fD,~D I AMPSERV''''' D ..""ORESSENERGY. O. W.R.E,C] ,__._.__ . F/l'n'-~'-+ S/~.~W '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 -I-I)~ ~ /31-,// J) . l J Owner phone Number o~ner phone ~urnb~r I oWner phone Nllmb~r I sUBDIVISION L J WORK PROPOSED VALUATION.OF MECHANICAL INSTALLAT.ION ~~. SPECIAL TV D FLOOD ZONE AREA' OTHER DYES LJNO ~11t"~ ,~~€d ~~ 571.S-D' BUILDER SIGNATURE Address z.. ~ b~~~IAN [. 8IGNATUR.E: _ l "b7 License, # L COMPANY . ~ E. Lt::;ZA--p..,,1 (" REGISTERED ~N. I. FEE C!JRRENT License # l 'I y~~~ . ., l 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 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 111111111111111111111111111111 Address '( ~lJM~~R SIGNATURE! J COMPANY ReGISTERED y /.N l 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 $5000). . . , Agent (for the contractor)' or Power of Attom~y (tOr the owner) would be someone with nolarlzed letter .from ow~er autho~zlng same . 'OVER, THE! COUNTER PERMllTlNG (Front of Application Only) Reroofs . Sewers Service UPw~des Ale ~'"' . 7 ,.' .,..". ",. '. .' 1\ DrlveWIIY6-~~t o,,;er9~u.~t~r If. Qn.publi~ rqad:wars ..!leeds ROW ~';" ':::~<i,,: ',:'.:; ::;:,:.:: /.,",;..; ..:...,:.'.~:,' ~.~. ':. ....... :;'1 ,"., _' , .' Fences (PloIISurveyfFootage) ..- . .; "', ._,~ " .: ....(1... .. .. "1 J .... - . ~u~'. . ',:,' :". ..;1 i ,j i;~~.:.~'~',(;l" ~:: I '~ I.' ,':" y" ,"f; ~.'''' ,1. . , .; ,:',:~ ': :;1',1 .. i' <.", I ..__s: APR/06/2007/FRI 09:34 AM 81 :3-7~O-0020 ZEPHYRHILLS BUILDING FAX No, 813-780-0021 City of Zephyrhllls Permit Appl1Catl~n Building Department ' p, 002 i~~~~1--- . JOI3 ADDRESS Date Received J '1 O\nlnerPhoneNumb~r OWner phone Nu~b~r I Owner. Pl\one Number I. Owner'5 Name OwnerlsAddres~ ,r7~~/') 6A~'- Fee '''''p1e Titleholde, "emel5AMG Fee Simple Titleholder Address [- . . ~ . LOT # r. PARca 10#[36,.215 ....2-l-tolO--l 0560- OODO' . (OaTAlN~p FROM PROPERTY TAX NOTICE) ,,' ~ . NEW CONSTR r-J 'ADD/ALT D SIGN 0 MOVE D DEMOLISH o . IN5TALLCI R~PAIR PROPOSED USE 0 SfR . B .COMM. 0 OTHeR .1 .. __ TYPE OF CONSTRUCTION D aLaCK 0 FRAME . D STEEL 0" OTHeR. I ::~::::OF7RK IAUj\I~:YarA::i NoRW ~/rH:fY I}(: ~>>T~L- . :lTTTTTl111l1111 'I" 111'11'1"11'" "" .1111; ~ ""'" 111'11111 J' \11111111\111111"; 11111; II" 11'1:1111111' \111' '11111111'" I ,.,.".. 1.1" "1'1' II" 'IT o BUILDING 1$ . 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 I l WORK PROPOSED i I ~~~. '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) ,... .~. " ":,. :' '... ....... 'i ._.....:.,,/1.-..., Dri"ElW~,:.rlll-N~~::t~;:.~~.~~~~r:::~~,,~ubll:,~.',..:~...:...'.~..,~, :~...:.J~.Y.~.5..nQQdS ROW '1"; i ;!:.~,/:::; .;\/":~;" , ;.'::'1:." ..~.i~ ~,""" '., I:,'~': . .! ::"~': ,(~: :..:- .!.:. " i.', 't p... : ~ ..d ..,.. . : .' . j:1 i \ . .,/' ,., .-' ., '. .' .<" y' .', '. (. j'. .'S.