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15-16168
Zephyrhills
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Building Department
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Permits
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2015
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15-16168
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Last modified
3/21/2016 2:32:55 PM
Creation date
3/21/2016 2:32:54 PM
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Building Department
Company Name
EMERALD POINTE
Building Department - Doc Type
Permit
Permit #
15-16168
Building Department - Name
ROGERS,RONNIE & DIANN
Address
3505 BERYL LANE
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���-�BV-���� Gity of Zephyrhilis Permit Application Fax-813-780-0021 � <br /> Building Department <br />� � '� <br /> � <br /> \ <br /> Date Recelved � Phone Contact for Permitting I� �L – ` <br /> Owner's Name . ����(� ��C. Q � .e�.� Owner Phone Number Vl(a7 ''��fp���0 <br /> Q f� / -_ B ��,�,1�c� 33 s�.,'' <br /> Owner's Address J�u�� �� v �G � C[.t�p�[ !✓ Owner�hone Number <br /> Fea Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a i��� ��� r L i� � LOT# [� <br /> susoivisioN ��'1�t' �4 Poi�f' PARCEL ID# �� "O�� °' -- � (� C`,lb -�� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER d � D <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE ��� ��—� SQ FOOTAGE�.0 HEIGHT �U� <br /> QBUILDING $ � �� � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �,r�� AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> J �i <br /> QPLUMBING $ �� <br /> �/ 16��� <br /> OMECHANICAL $ �i��� VALUATION OF MECHANICAL INSTALLATION 1� ` <br /> �J� <br /> QGAS [� ROOFING Q SPECIALTY � OTHER <br /> °INISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES /O�'"1 \_•,�i� <br /> ��� �o� <br /> G <br /> 3UILDER n COMPANY �rn — <br /> iIGNATURE I �c.� REGISTERED Y N FEE CURRE� /N <br /> Address _ ' l.t'C.��! r , License# ��� � �'�3 � <br /> ELECTRICIAN COMPANY �O � ��Y�e r <br /> iIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 'LUMBER � v COMPANY <br /> i1GNATURE REGISTERED / N FEE CURREP Y/N <br /> Address � � License# `�� 3 � <br /> �ECHANICAL l COMPANY '��G <br /> iIGNATURE ' REGISTERED N FEE CURRE� � Y/N <br /> Address �`�� lp � �L�3�y�•License# � � � ^ <br /> 1THER COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> :ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed. <br /> Sanitary Facflities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon. <br /> Minimum ten(10)workfng days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compllance <br /> IGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ali NEW construction. <br /> irectlons: • <br /> FIII out appHcation completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement ts required. (AIC 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 /> VER THE COUNTER PERMITTING (Front of Application Only) <br /> eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> DNveways-Notover Counterif on'pubii'c'"roacJways:needs ROW -°- •-•� �-•-- �- -•- -. __....._._._. ., <br /> :. , � ' ,- { . , ' ' ,; . _ - , . �. <br /> � , � . :i.<,. i �.; , l� � <br /> � � � .. 1['. �.. .. ' � . . � <br /> . � 1 r .' . 1 , . 1 � . _ .r.. �� i _. , .. ,•- � <br />
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