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17-18063
Zephyrhills
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2017
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17-18063
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Last modified
12/8/2017 2:05:48 PM
Creation date
12/8/2017 2:05:48 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
17-18063
Building Department - Name
BRACKNELL,COY
Address
5811 19TH ST
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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> " Building Department <br /> y� :� <br /> Date Received � '� _� � p��Z <br /> Phone Contact for Permitting , �•D <br /> Owner's tdame TG L �� Owner Phone Number 1�� �"� �2. <br /> Owner's Address / sf Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � O �� ( 9 S LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAIMED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B W TALLSTR e REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE'.OF CONSTRUCTION Q BLOC •• Q FRAME 0 STEEL Q <br /> DESCRIPTIOPI OF WORK � r �� �� ����� � � ` <br /> BUILDING SIZE �FOOTAGE 3�J?t HEIGHT • �V d" <br /> QBUILDING $ `y �O� 0�1 VALUATION'OF TOTAL CONSTRUCTION <br /> ( V <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY n W.R.E.C. <br /> ;�jt J7P� <br /> CJ <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���V <br /> �.GAS Q ROOFING Q SPECIALTY 0 OTHER ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � I <br /> BUILDER COIlflPANY .�(?(/")-C �!�''P <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addeess S� C ,j' ��{ � License# <br /> , -ELECTRI,GIAN COAAPAfdY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> P�ddress License# <br /> PLUM�ER.,, COAAPANY- <br /> SIGNi4TURE REGISTERED Y/ 'N FEE CURRE� Y/N <br /> Address License# <br /> ' MECHANICAL� � CONIPANY <br /> SIGN;�TURE� REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess: License.# <br /> -�.:��:- � > _ <br /> 07HER' �•:' COMPAMY <br /> �� SIGNAl;URE:'.: _� � REGISTERED Y/.N FEE CURRE� Y/N <br /> �� , , , , . <br /> - Address� �- License# <br /> ';RESIDEN7IAL,;:• Attacfi';(2)<PIoYPIan's;'(2):"sefs�"of�Building Plans(1�)`set of��Energy'Fortris;R=,0-1N Perr'riit.for new.construction, <br /> : _ � .,',,::, ;� -�Minimum ten�.(10)working;days'.afte�su6mittal:date. Requ'i'red`onsite;Con`strtiction Plans,Stormwater Pians w/Silt Fence installed, <br /> �� � Sanitary.:;Facilities;&zt1�_.dumpster;SiteiWor,k Permit for..sutidivisionsAarge:p�oJects� - � <br /> -• :;COMMERCIAL Attach�(2)complete'sets`of Buildirig Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> - - Minimum ten(10)workfng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit fo�all new p�ojects.All commercial requirements must meet compliance <br /> :.".SIGN;PERMIY Attaofi`(2)sefs ofiEngineered'P_lans.� � <br /> ""PROPERTY SURVEY required for.all.NEW.construction. <br /> "'_Directlons: - ,. <br /> '" � Fill:ouYapplication completely. <br /> ' Owneh&Contractor sign back of application,notarized <br /> ; -If over$2500,a Plotice.of Commencement is required. (A/C upgrades over$7500) <br /> . " Agent(fo�the�contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> ;`."OVER'THE COUNTER:PE_.RMITTING. _(copy_of.contract�required) <br /> ",Reroofs if•sFiingles Sewers �, Service.Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter�if on public roadways..needs ROW <br />
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