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17-18972
Zephyrhills
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2017
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17-18972
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Last modified
7/31/2018 2:13:56 PM
Creation date
7/31/2018 2:13:56 PM
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Building Department
Company Name
ZEPHYR HEIGHTS
Building Department - Doc Type
Permit
Permit #
17-18972
Building Department - Name
FOSSEN,RICHARD
Address
5306 STSUMA DR
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Oct 23 2017 04,38AM HP Fax 7276234966 page 1 <br /> e�saea-oozo City of Zephyrhills Perm�Applic�tion Fsz-813-780-0021 i <br /> suild+ng oeperfinent <br /> Dat�R�oNvea Phona Corlxt far Psnnldl I <br /> 'T 7" C,, <br /> Ownor�N�» SJ�c 1�r fl�H' Ormcr Phone Num6cr � `� 7� <br /> Ortncr's Addresa [.3� � � Q. Ormer Phona Number <br /> Fe�Simpla Titloholdar Nnmo Owner phone Num6er <br /> FM 61mph TltleholderAddreaa <br /> .weaonf�ss ��� D . �or� � <br /> suenrvisiow ► 2 � PARCEL ID! 1 Z�2(�-Z �pU —�v3ao - �r,3rj <br /> (OBTAINED FRON PROPEFRY TAX NDMMf77 <br /> riORK PRODOSED a NEW CONSTR e ADD(ALT Q 31GN Q Q DEMOLISH <br /> INSTALL RH�AIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TraE oF�srnucnoN p e�ocx Q FRAME Q STEEL p <br /> oescra��oF wot�c � ' ` GWl� {�i� �' ��' <br /> BUILDlND SIiE S4 F�OTAOE� HElOHT � <br /> QBUILDINO S VALUATION OF TOTAL CON9TRUCTION <br /> QELECTRICAL ; MAP SERVICE O PROGRE55 ENERGY � W.R.EC. <br /> QPLUMBING S <br /> L�[`'MECHAMCAL �fO VALUATIONOFMECHANICALINSTALLATION <br /> '� 1 <br /> QGAS Q ROOFING [] SPECUU.TY Q O7FER <br /> FINiSHEO FLOOR ELEYAT10N5 FLDOD ZONE AI�A QYEB NO <br /> 6UILDER COMPANY <br /> SIGNATURE eEG�� I N FeEc�.t�n Y!N <br /> Addross ucertse i� <br /> ELECTRICIAk Col�ANY <br /> 8�G1YAT11RE RE615TER� Y I FEe CURt�n Y f H <br /> Add�sn� Ltcena9� <br /> PLUYBER COMPANY <br /> 81GNATURE REr,�gTER� J N FEE Cuaf�n Y/N <br /> Addross L1CBnSe� <br /> .�—�� <br /> MECNANICAL COIAPANY <br /> SIONATUF� t�cts�Reo Y!N tg CURrgn Y I N <br /> Addr«o Lip�so# I <br /> OTNER CQNPANY <br /> �NATIiRE r+�as� Y!N �GURRER Y!N <br /> Addresa Licanae�1 <br /> III � IIII11111111111 � 1 �1111111111 �� 111 � 111t1 �1lIIIIIII11111111111111 <br /> REBI�EMIAL Attech(2)Plot Plans;(2)3ets af BWldng Pier�(1)set of Eneryy Farme;R-0-W Pemutfor now oontWdtan, <br /> MiUnxurt ten(70)wmWrg daya efter eulmnftta!date-R�irod cn�,Construelion Pl�ne,Starmwater P�na vd 58t Ferka kisteded, <br /> Sanihry FadWes 81 dumpeler,Site Wak PamA for subdNhlotqllage projecis <br /> CONNERCIAL Attadi(2)wmplete sete d Bw'qtng Pfarw plus a Ufa 8afety Page;(1}set of Eneryy Fomt�.R-0-W Pemdt ipr new eoneWalon. <br /> M'nimwn ten(10)working d0�rs eRer w6mitfdl date.Requirad onei�.Co�trudion Plena,Stormwatar Plansw/S�lt Fm�ce Installed, <br /> Sanibry Faa'Iitles 81 dumpa�er.Site WaAc Pe�m4 foratl nwv proJeds,A!commerdal raquaemerae m�mt meet canpl'�ance <br /> SitiN PERMR Attadi(2)eetv af�ginee+ad Pleru. <br /> ""PROPERTY SURVEY requlrcd tor aU NEYY consWctbn. <br /> II� Iillitlilll ' ' 1 ' <br /> D'i�esUme: <br /> FII out applimtlon comqe0aly. <br /> Owner&Contractot siyn back of applimtion,noteri�d <br /> It owr i1600,a NaUu oT Camm�nc�m�nt Ic r�qidnd (AfC upywtl�r over 17500) <br /> " Apent(tor�a wn4adw)or Po.wr of Albmay(for tlr oxme�j wot�d he aortm«ie with ndarixed latlYr from ownar auNerainy sarne <br /> OVFR7HECOLJt�iL'RPHIAiQT'f1NG (eapyOleqnVactrequlrt� <br /> flerootsifshin�� Sewe�s 9ervlceUpgredes A/C Fetees(PIo118iavay/Fposege) <br /> Drivwvays-Nd ova Caaib�r if on pu�c roadwaya..neede ROW <br />
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