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18-20609
Zephyrhills
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Building Department
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2018
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18-20609
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Last modified
3/18/2019 8:40:25 AM
Creation date
3/18/2019 8:40:23 AM
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Building Department
Company Name
PARK HILL
Building Department - Doc Type
Permit
Permit #
18-20609
Building Department - Name
LACROIX,DANIELLE & RILEY,CHARL
Address
6038 17TH ST
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613-780-0020 City of Zephyrhills Permit Application Fax-e13-780-0021 <br /> Building Department Q - <br /> Date Received Phone Contact for Permit ing 8/J �`4- - -74 7e, <br /> Owners Name K S Owner Phone um be; <br /> Owners Address Wf/�8 7 V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS &038 1 7'W 5OW-f?r LOT# <br /> SUBDIVISION �lff r� RUL PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK <br /> Q// F,R-AMME` = STEEL = <br /> DESCRIPTION OF WORK �7'�-�- /r �"i+���s � �� r5MC <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> Tr-T-9 T rMr-r-7""!T'!T'R"!'!"!"f��lTTl1'•f'r^!T•Rl9TPT"P1r!'1"PT•0'R�f"7TrrlTTrT�!'!Tr'T�TIT!' <br /> =BUILDING $ �d VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. I <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER N FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> �� E�_ <br /> BUILDER -- -- COMPANY C JI�c��L��D `� Z6� 03 <br /> �,h J <br /> SIGNATURE REGISTERED Y/ N FEE CURREf <br /> Address 0ZS dWy—qk" License# <br /> ELECTRICIAN COMPANY = I <br /> f1� �p ,n <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN 1 <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyj N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> 1 !1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 l I 1 1 1 1 1 !1 !I t 1 1 1 1 1 t 1 1 !1 1 1 1 1 1!1 1 1 1 1 !1 1 1 !1 1 1 1 1 1 1 1 !I t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;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 Attach(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,Stermmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Persil for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> �F•..:-..-r�.r.-t.-..:-i-i-1.1-Fit-6.o-r..:-t-F.i-1-i-1-1.3-FG.l-S-:-.+-i.i-t+1-i-•• i-�1-�i�F6-•r:�.4+-s.a•1- <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. (A/C upgrades over$7500) 1 <br /> •• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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