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17-18872
Zephyrhills
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2017
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17-18872
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Last modified
7/31/2018 11:26:32 AM
Creation date
7/31/2018 11:26:31 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
17-18872
Building Department - Name
ROBERTS YVONNE C REV LIV TR
Address
5240 GALL BLVD
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813-78Q-0020 City of Zephyrhills Permit Applicafiian Fax 813-T80-0021 ; <br /> ,, `� Buitd'sng Depactment i "' <br /> �� ��� � <br /> Date Reteived " 2' <br /> Z� Phons Gantacf far P�rmftting C� � � `��— ��?� <br /> � <br /> Owner's Name l`��� �� ��_ Owner Phone Number �� � � L �'`�'��'Z � <br /> �i <br /> � /' \ �f�/� i <br /> Owner'sAddress ��'�� v��� � 1`✓ ZJ Owner Phone Wumber � � <br /> Fee Siniple Titlehalder Name ���-`� ���5� � Owner Phone Number � � <br /> i <br /> Fee Simple Titleholder Address <br /> ;; <br /> JQB ADCIRESS �� a �-~`�Z��� � � �cJ LOT# '�___!_� <br /> ��� SUBDIVISION �_ � PARCEL ID# <br /> g; i (OBTAINED FROM PROPERTY7AXNOTICE) <br /> �� WQRK PROPOSED e NEW CONSTR 8 ADDiALT � SIGN Q Q DEMOLISN � <br /> t; � INS7ALL REPAIR j <br /> r PROPO;SED USE Q SFR . Q CQMM 0 OTHER ��j <br /> �� TYPE OF CONS1"12UCTION Q BLOCK ' Q FRAME � STEEL Q � <br /> .� � 1 <br /> �� ' � <br /> � DESCRIPI"ION-OP WORK �.�b�� �� �� I <br /> � <br /> � BUILDING SIZE �� � SQ FClOTAGE� HEIGHT j <br /> }��, OBUiLDING $ �� �� . � VALUATION OF TOTAL CONSTRUCTION � <br /> t� � � <br /> �' � <br /> i QELECTRICAL �i ----� AMP SERVICE � PROGRESS ENERGY [� W.R.E.G.- ' <br /> { i <br /> � QPLUMBtNG $ , ' <br /> �� I <br /> � �MECHAiVICAL $ VALUATIC}N OF MECHANIGAL INSTA�CATtQN �}� 7�-'" <br /> ; `��V <br /> i <br /> ' QGAS Q 1200FING Q SPEGALTY � OTHEF2 <br /> �f FINISH�D FLOOR ELEVATIO � � FLOOD ZONE AREA QYES NO <br /> 1 ' <br /> q � <br /> 4 <br /> i <br /> 7 BUILDER COMPr41VY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i <br /> { ' � <br /> � Address License# r� �� <br /> � � � <br /> � ELECTRICIAN COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � ' <br /> � , Address � � License# <br /> � <br /> � PLUMBER COMPANY � I <br /> ; SIGNATURE REGISTEftED � Y'/' N . FEE CURRE� "Y�/�N ' <br /> ,`r , .. � . , . �" <br /> Address License#`� � �i, <br /> � , � , . � <br /> ? MECHANICAL: - COMPANY - - . <br /> , SIGNATURE REGIST�RED Y/�N-� • FE6 CURRE� < �:,Y:/.N .�;,, � <br /> . , i <br /> ; , <br /> ! Address _ License# � I� <br /> �. OTMER , , COMP�►WY ; <br /> r SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> �; � <br /> � <br /> �. , <br /> '',-` Address „ .. License# � �.G <br /> �� ,.,,. � _ <br /> �': . . , . ° - - j <br /> C� RESIDENTIAL' "Atta'cfi'(2)Plot Plans;'(2)�sefs�of Building Plans;(1)set of,Energy Forms;�:R-O=W:Permit'for.'new canstructian,. . <br /> �"` Mlniinum=teni(1.0)',working days`aftersu6mittal d"ate.'Required onsite�Construction�Plans,Stormwater Plans w/Silt Fence`installed, ' <br /> r,. <br /> � Sanitary Fac�lities&1 dumpster,Site Work Permit for subdivisionsllarge pro�ects " <br /> �' COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety,,.P.age;(1)set of Energy Forms.R-O-W Permit for new construction. � <br /> �Minimum ten,{1Q)-working days after submittal date. Requi�ed onsite,Canstruction_Plans,Stormweter Plans w/Si1t.Fence installed, � <br /> � . Sanitary Fac3lities&1��durnpster.Site Work Pertnit for all'i►ew projects.At1 commerciaE requirement&mus#mee#camptiance <br /> � -.SIGN PERMIT Attach.(2),sets,•of.Engineered Plans. �, , ; <br /> � "*'PROPEE2TY.St1R\!EY required for a!!NEW canstruction. , � <br /> ' Diirect'ions: � <br /> FiEI aut appEication completely. <br /> Owner-;8�Contractor sign back of application,notarized <br /> If over$2500,a Notiae of Commencement is required. (A/C upgrades over$7500) <br /> '* t{gent{far the contractor-}or Pawer of Attomey{far the awner}woald'be sameone with notarized letter fram owner authorizing same <br /> -OVER 7'HE COUNTER PERMITTING (copy of contract required) <br /> Rer.00fs.if shingles Sewers Service Upgrades^AiC Fences{PtotlSurvey/Foatage} ' � � <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />
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