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15-16039
Zephyrhills
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2015
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15-16039
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Last modified
3/21/2016 10:36:57 AM
Creation date
3/21/2016 10:36:57 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
15-16039
Building Department - Name
BUBNACK,STEVEN M
Address
38745 2ND AVE
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s�aaaa-oozo City of Zephyrhills Permit Application Fax-813-780-0021 , <br /> ' � Building Department ( <br /> Date Recelved Phone Contact for Permitttng �� � �o �– ���� <br /> Owner's Name l�/��NQ��G�, �L er✓� Owner Phone Number O ��°�� ! ` „�✓ / <br /> Qwner's Address � "T� ��D �1�� Owner Phone Number � <br /> Fee Simple Titleholder Name � � . Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O �� / J�e � � �"{�L'�"'� LOT# �� <br /> SUBDIVISION � � PARCEL ID# ������ °"�1 � �����L I t�'�� "�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e t3EW CONSTR ADD/AlT � SIGh! � Q DEMOItSH <br /> INSTALL REPAIR <br /> PROPOSEd[JSE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 BTEEL Q <br /> pESCRIPTION OF WORK l��m d f�e- "�"f�� ��-° � � � � C Q'�"1 ���%�✓`�'-'' �/� �� <br /> BUILDING SiZE � � SQ POOTAGE[_�_� HEIGHT �`� <br /> QBUICDCNG �_--_� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRtCAI� r> � AMP SEFttlICE 0 PROGRESS ERIERGY Q W.R.E.C. <br /> L <br /> �PLU�ne�rv� ��� ��1 <br /> ,�d <br /> OMECHANICA� $ � t �7�t D� VAl.UATtON OF NIECNANICA�INSTAi.CATtON .� <br /> P l <br /> �GAS Q ROOFING Q SPECiAITY � OTHER <br /> FINISHEQ FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> BUILDER CBMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURF2E� Y/N <br /> Address License# � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PL.UMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ,,._, ,,._„_,,,.....,, . <br /> Address License# � � ' <br /> MECNANICAt � � � /� COMPANY letS d' F�N��-S �` �� <br /> SIGNATURE ��''���'�'�" REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ��.-�!�-U'T� / T"� � <br /> 07HER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> RESIDENTIAL Attach{2)Plot Plans;{2)sets of Buitding Plans;(1)set of Energy Forms;R-O-W Permit for new construcfion, <br /> Minimum ten(10)warking days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/8ilt Fence installed, <br /> Sanitary Facilltiss&1 dumpster,Stte Work Permit for subdivisions!large projects _ ____ <br /> COMMERCiAL Attach(3}comptete sets of Sui{ding P1ans ptus a Life Safety Page;{1}set af Energy Forms.R-O-W Permit for new construction. <br /> - � Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&,1 dumpster.Site Work Permit for a11 new projects.A(I commerciat requirements must meet compliance <br /> S1Ghi PERMIT Attach(2}sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far all NEW construction. <br /> birections: � <br /> Fill put application completely. <br /> Owner&Cantractar sign 6ack of appl�cation,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> '* Agent{for the contractor}or Power of Attomey(for the owner)wouid be someone with natarized letier from owner autharizing•same �•��-,� . . � <br /> OVER 7HE COUNTER PERMI'i'T7NG (Front of Application:O'niy) � - , • � ' ` <br /> Reroofs if shingles Sewers Senrice Upgrades A/C , Ferices(Plot/SurveylFootage� _� �� �� <br /> .� , i�. . .,r . �1. . ` <br /> Driveways-Not over Counter if on,putilic roadways,.needsAROW _ - "` ' •° .-� ' . °�°, , ° .. ,,,�-,-,•�r:; <br />
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