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15-16756
Zephyrhills
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Building Department
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Permits
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2015
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15-16756
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Last modified
2/21/2017 2:04:10 PM
Creation date
2/21/2017 2:04:09 PM
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Building Department
Company Name
VALLEYDALE RO ASSOCIATION
Building Department - Doc Type
Permit
Permit #
15-16756
Building Department - Name
BATHURST,RICHARD LAURENCE & ELIN
Address
6833 ORLO DR
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, . 813-780-0020 City of Zephyrhills Permit Application FaX-s��-�eo-ooz� <br /> Building DepaAment <br /> Date Received phone Contact for Permitting <br /> ��-r-r� -rrr a <br /> Owner's Name �� ^ a�� L� "{, Owner Phone Number �� 0�r ��/u <br /> Owner'sAddress '7b�D ��[,l�ei2.- r2� ��re�Y� .��"t�WnerPhoneNumber � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � O/�D �/ • LOT# � <br /> SUBDIVISION L PARCEL ID# �-�b-a I-o f�o� �"""V' �O <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��� I LV� � v- iL�C'(N-�lEf,��l�(� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � U <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ,�/�I <br /> �MECHANICAL $ Q VALUATION OF MECHANICAL INSTALLATION ���, <br /> r � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY ��, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Address � License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br />� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllltlltlllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Conlractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> i " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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