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16-17635
Zephyrhills
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Building Department
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2016
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16-17635
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Last modified
7/17/2017 2:31:21 PM
Creation date
7/17/2017 2:31:20 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
16-17635
Building Department - Name
REINER,JUDY
Address
5505 4TH ST
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813-784-0D20 • ' City of Zephyrhills Permit Application Fax�13-780-0021 <br /> Building Department <br /> Date Received I 813 783 1688 <br /> Phone Contact for Permittin <br /> Owners Name I REINER JUDY Owner Phone Number <br /> Owners Address I 301 W SYLVANIA AV APT 325A Owner Phone Number <br /> Fee Simple Titleh Ilder Name Owner Phone Number <br /> Fee Simple Titleh�lder Address <br /> �os n�oRess 5505 4TH STREET LOT# � <br /> SUBDIVISION NA PARCEL ID# 11/26/21/0010/06200/0010 . <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEp e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONST UCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION O WORK COMPLETE DEMOLITION <br /> BUILDING SIZE i SQ FOOTAGE 900 HEIGHT � <br /> QBUILDI � $5940.00 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECT ICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �� <br /> OPLUMBNG $ � I� \ <br /> r��v`� �u! <br /> �/ � <br /> QMECH NICAL $ VALUATION OF MECHANICAL INSTALLATION '� <br /> Q ROOFING Q SPECIALTY 0 OTHER <br /> FIN HED FLOO ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER /� � ��� COMPANY CROSS ENVIRONMENTAL SERVICES,INC <br /> SIGNATURE � REGISTERED Y I N FEE CURRE� Y I N <br /> Address P•O.BOX 12 ,CRYSTAL SPRINGS,FL License# CGC062981 <br /> LECTRI AN COMPANY <br /> SI RE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuw�En Y/N <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 �cuwtEn Y/N <br /> Address License# ' <br /> 1111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of Energy Forms;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Sile Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Pertnit for new conslruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conslruclion Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpsler Site Work Pertnit for all new projecls.All commercial requirements must meet compliance _ <br /> SIGN PERMIT Attach(2)seis of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out appl calion completely. <br /> Owner 8 C ntractor sign back of applicalion,notarized <br /> If over 52 0,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for t e contractor)or Power of Attorney(for the owner)would be someone wilh notarized letter irom owner authorizing same � <br /> OVER THE CO NTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> DrivewayslNol over Counter if on public roadways..needs ROW <br />
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