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17-19003
Zephyrhills
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2017
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17-19003
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Last modified
8/13/2018 11:51:42 AM
Creation date
8/13/2018 11:51:41 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
17-19003
Building Department - Name
GOLD,DUSTIN
Address
5044 9TH ST
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a�s-�aa-oozo City af Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> . � <br /> Da#e Recelved phone Confact for Permi#f�ng �J�2- �"1 — �� � <br /> ���$������ �(��j-�j("� �}Q�� Qwner Phane Number ( •.3� q <br /> Owner's Address ���� `7 � �� Owner Phone Number �� � <br /> Fee Simple Titleholder Name �— � Owner Phane Number � � <br /> Fee Simple Titleholder Address ' <br /> JOB AQDRESB v��`f � V� LOT# � � <br /> SUBDIVISION �� l� U� 2�� � PARCEL ID# `� '�� • �� ��dt�• `��� � ' �,� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPQSED e EW CONSTR ADD/ALT [� SIGN Q 0 DEtviOk.ISFI <br /> INSTALI, REPAIR <br /> PROPQSED USE SFR Q COMM �� CJTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL � <br /> DESCRIPTION OF WQRK� �� � \ � �< < <br /> BUILDING SIZE �- � SQ FOOTAGE ����✓ HEIGHT <br /> [�8UlLDING �9�. � j'� O /1� VALUATION OF TOTAL CONSTRUCTION <br /> L lD'70v .,J <br /> QELECTRICAL � � AMP SERViCE Q PROGRESS EiVEf2GY Q W.Ft.E.C. <br /> [�PLUMBING $ ���J U� � <br /> � 'U' <br /> OMEGtiANICAL $ VALUATION tYF tvIECHANICAF.fNSTALLAl'ION ���� <br /> ��Y� <br /> QGAS R04F1NG Q SPECtA�TY � OTHER �� <br /> FINISHED FLOOR E�EVATIONS �W� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �dS��S t'C. . L.( t� <br /> SIGNATURE REGISTERED N FEE CURRE� Y N <br /> Address ` License# �� � <br /> ELECTRfCIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREq Y/ N FEE CURRE� Y/N <br /> Address � License# � I <br /> MECHANICAL. COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# � I <br /> OTHER COMPANY <br /> SIGNA7URE FtEGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> t <br /> RESIDENTIAL� Aftach(2}Plo#P{ans;(2)sets af Building Plans;(1}set of Energy Forms;R-O-W Permit for raew constructian, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construckion Plans,Starmwater Plans�v_/�ilt F_�IIc��ns+a!!ea;�------- <br /> Sar?itary Facitities&-1�dumpster,Site Werk.R��^.^.�±'L:vu.".v�visi'v�sriarya�projec[s -"��_, � <br /> " -C�!:!fi�EO�iAi. ;�tiacn(3}compie#e sets of Building Pians plus a Life Safety Page;�1)set of Energy Farms.R-O-W Perm'st for new construction. <br /> Minimum#en(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpsfer:Site Work Pecmit for al!new projects.At!commercia)requiremenks must meek complfance <br /> StGN PERM17 Attach(2)sets.of Engineered Plans. - , . <br /> `�""PROPERTY SURVEY requir�d for all NEW constniction. '' <br /> DirectYons: � <br /> Fill out applicatlan complstely. <br /> Owner&Contrac#or sigcs back of appiication,notarized , � <br /> If over$2500,a Notice of Commencement is required. (AJC`upgrades over$7SOOj <br /> "* Agent{for the contracto�)or Pawer of Atkomey(for the owner)would be someane with notarized letter from owner authorizing same <br /> OVER THE.CQUNTER FERMITTING.,'�. (Front;of Applioation Only) <br /> Reroofs if shingles� �Sewers Service Upg�ades A/C Fences(PIoUSurvey/Footage) <br /> . t <br /> priveways,Not�over Counter'if on publia roadways..needs RQW <br />
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