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18-20243
Zephyrhills
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Building Department
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2018
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18-20243
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Last modified
3/18/2019 10:30:40 AM
Creation date
3/18/2019 10:30:22 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
18-20243
Building Department - Name
BIRMINGHAM,MATTHEW
Address
5336 16TH ST
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Pla-fou-tfuzu City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received 10,/ <br /> 4i Phone Contact for Penniffing., <br /> 1 PA M <br /> Owner's Name 6 Owner Phone Number M <br /> Owner's Address F5336 WTH IT Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple:,Titleholder Address <br /> JOB ADDRESS 533& )6T� sT LOT 0 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK 6 x <br /> `BUILDIING�.SIZE F ::ISQ FOOTAGE HEIGHT <br /> =BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE• Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> 1$ <br /> =MECHANICAL 1 VALUATION OF MECHANICAL INSTALLATION <br /> =6AS <br /> ROOFING- Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ................ <br /> ............. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/'N': FEE CURREN L Z N <br /> Address License#' <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED Y N FEE CURREN <br /> Address F License <br /> PLUMBERS COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE: REGISTERED YJ N_J FEE CURREN <br /> Address,- License#F <br /> OTHER <br /> COMPANY <br /> SIGNATURE REGISTERED Y N—F , FEE CURREN. Ly LNLJ <br /> Address License# <br /> H'SHEaH mains <br /> RESIDENTIAL e Attach.(2)..'Ploi Plans;(i)Sets of Building Plans;,(11)set of.Energy.Forms;R-OV-Permit fornew:congtructlon, <br /> Minimum t6n'(10)'wdrkinj days after su'bmlttaFdate; Required dnsite,Construction Plans,Stormwaterftns.#/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisloins/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(.1.0)workingdays after submittal dife---Required onsiteTConstructon Plans,$tormwater Plans w/Silt Fence Installed, <br /> Sanitary.Facilities&I dumpster.Site Work Permit for'all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2),iets of Engineered Plans. <br /> ****PROPERTY—SURVEY required for all NEW construction. <br /> ............. W114411 <br /> .118111111 11!111!111!!!!W11441 4_14 <br /> -------------- <br /> Fill out application completely. <br /> Owner&`Contractorsign back of application,notarized <br /> If-over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> -Agent(for the contractor).-or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVEkTHE.-COUNTERPERMITTING - -(copy of C6nti-abt,re'q'qUned);'- <br /> -Retd6fs4f-shingles Sewers Service Upqr6dIeS'A/C Fences(PIot/SurVeyffiootage) <br /> .Driveways-Not over Counter if on public roadways..needs ROW <br />
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