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15-16292
Zephyrhills
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Building Department
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Permits
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2015
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15-16292
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Last modified
1/15/2016 9:59:00 AM
Creation date
1/15/2016 9:59:00 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
15-16292
Building Department - Name
HOUSING & U D&SEC C/O MICHAELSON
Address
5324 17TH ST
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ; ►. Building Department <br /> Date Recefved Phone Contact for Permitting �L J �S oZ — �'J� <br /> Owner's Name f/Ql�I..�iN �G� Fy/1� ��b o Owner Phone Number 8�� 7��"���� <br /> / �uiv�fi�rr� <br /> Owner's Address C/m�C�'P`�� ����'/��o e,eS�i`C ���ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �/ �D �, �L° �/�/Ll�r �� . ��'�Z LOT# � <br /> SUBDIVISION PARCEL ID# �� �(A� �� D��D I�3dD D��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , B NEw CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � D DL' � RG' � -- � Cd� O/lJE?/��S ��� <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ �/�� D� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL - COMPANY A�/� � �"'o �le o`-%�--1/1�G <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> J Address Ucense# �/�0�� /T 6 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Flot Plans;(2)sets of Building'Plans;(1)set of Energy Forms;R-O-W Pertnit for new consUuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Sflt Fence installed, <br /> Sanitary FaciliUes&1 dumpster,Site Work Permit for subdivisfonsAarge pro)ects <br /> - COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facil(Ues&1 dumpster.Site Work Permit for all new proJects.All commercial requtrements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construc8on. <br /> Dlrectlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appltcaUan,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A!C upgrades over 57500) . - - . <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) . - <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if an public roadways..�eeds ROW <br />
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