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18-19325
Zephyrhills
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2018
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18-19325
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Last modified
9/24/2018 7:53:33 AM
Creation date
9/24/2018 7:53:32 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
18-19325
Building Department - Name
RODRIGUEZ,JESUS C & AURORA & JES
Address
5610 21ST ST
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- 813-780-0020 City of Zephyrhills Permit Application F�-a��-�so-ooz� <br /> ,�f <br /> Building Department <br /> , � Date Recelved phone Contact far Pertnitting �� ✓ Sy _v J � <br /> 11111111 tllll `/ I <br /> Owners Name �e S 5��/� d �/ '�—Z Owner Phone Number ��3— 7�L�'�s/ 6 , <br /> S'(o/U Z Sr '. <br /> Owner's Address � � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phona Number <br /> Fee Simple Tltleholder Address <br /> .IOBADDRESS J��O ZI �S � � /� •�i l� r L' LOT�1 � <br /> sueoi�nsioN PARCEL ID# �Z ' Z�-Z/- d OLo-O a 70 - o`�d O <br /> (DBTAINFD FROM PROAERTY TAX ND71C� <br /> WORK PROPOSED B NEW CONSTR e A�D/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK V� itF.�QD t.+—,. � � �..—Q.-��- ���"�'��� <br /> BUILDING SIZE SO FOOTAGE HEIGHT � <br /> OBUILDING $ � O ALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> QPLUMBING $ �,�\�LI��J I N S - <br /> co�nu� l�c�-�s2 , <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br />�I �� � <br />, QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AR A YES NO � <br /> I � � <br /> / ` j ���'� <br /> BUILDER ANY I\N Q NS��. �TI � <br /> V` <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Addresa •V o �� Z. ��-1�� G� 3 J'�Z L License# �YL d � S <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEf2ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY � <br /> I SIGNATURE ttEcisr�tm Y/ N FEE CURREI+ Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISfERED Y/ N �e cua�n Y/N <br /> /lddress License# <br />'I 07HER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illlllllllllllllllltllllllllllltlllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Partnit for naw canstruction, <br /> Minimum ten(10)worldng days after submiltal data. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilifies 81 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)compiete sets of Building Plans plus e L'rfe Safety Page;(7)set of Energy Forms.R-O-W Pertnit for new consWction. I <br /> Minimum ten(1 D)worlting days after submittal date. Required onsfte,Canstruclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&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 requlred for all NEW consVudion. � <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sfgn back of applicaUon,notarized <br /> if over 52500,a Notice of Commencement Is requlred. (A/C upgrades over 57500) <br /> " Agant(for tha conVac�or)or Power of Attomey(Tor the owner)would be someone wi[h notarizad letter from ownar authorizing same <br /> OVER THE COUNTER PERMITTING (copy ot contract required) <br /> Remofs 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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