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17-18165
Zephyrhills
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Building Department
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2017
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17-18165
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Last modified
12/12/2017 11:45:52 AM
Creation date
12/12/2017 11:45:51 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
17-18165
Building Department - Name
UNDERWOOD,RALPH & JOANNE
Address
5612 CYPRESS ST
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s��-�so�oo2o City of Zephyrhills Permit Application F�-���-��� <br /> � � Building Department ' <br /> Date Received a I�� �� Phone Contact for Permitting �SZ- � -��� <br /> _�._i_.������_T_i_.r - - --T-r-i-�-i- -- <br /> Owner's Name L � ! �`J Owner Phone Number U — "' � 7 <br /> Owner's Address 1� (lZF � • � ,• (1, ,2j�:J Owner Phone Number <br /> Fee Simple Titleholder Name �" Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS J G o2 �f � - LOT# � <br /> SUBDIVISION PARCELID# Io�''���-��'(��(��— �Q(� � U L/"� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK � ��t'T CCCC'-j�'�.f S /1�2.I'1`Z-e- ��IC / <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> T 1.�60. Oa <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> .�.- � 1 � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' <br /> OGAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> � <br /> BUILDER � COMPANY �I�C k�'1�V�«L. ��p,a-S �h G., <br /> SIGNATURE � L REGISTERED Y N FEE CURRE� Y/N <br /> Address � , /�. License# �j C �,��� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> i � iiiiiiiriiriiii � i � iii � ii � � iiii � � iiirtiiiiiiiii � � ii � ii � iiii � � � iiir <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 after 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 _ 9ttach(2)complete_sets of Building Plans plus a Life Safety Page;(1)set of 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/SilfFence instalied,— ' -- - — <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requirecJ for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A1C upgrades over$7500) <br /> " 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 PERMIITING (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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