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19-20773
Zephyrhills
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2019
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19-20773
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Last modified
6/4/2019 7:56:40 AM
Creation date
6/4/2019 7:56:40 AM
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Building Department
Company Name
CRICKET
Building Department - Doc Type
Permit
Permit #
19-20773
Building Department - Name
WELLESLEY DEVELOPMENT CORP
Address
5530 GALL BLVD
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813-780-0020 City of Zephyrhills Permit.Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Oz ©6 2p Phone Contact for Permitting <br /> Owner's Name �``` �nr�- V� Owner Phone.-Number <br /> Owner's Address 5 5 30 6q U V�— Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS ;s�o ��� IJ ��l`S 2 LOT# <br /> SUBDIVISION PARCEL IDS <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED R NEW CONSTR a ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION 0. BLOCK Q l FRAME = STEEL = <br /> DESCRIPTION.OF WORK ' t' 6d `° VJ-( <br /> BUILDING SIZE SO FOOTAGE=.. HEIGHT. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY W.=PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY•= OTHER E� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> (, <br /> BUILDER COMPANY <br /> SIGNATU E REGISTERED / N FEE CURREt`- Y/N ' <br /> @ J <br /> Ad ress License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N : - FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach,(2)PIotPlans;(2)sets of Building.Plans;,.(1,)set of,Energy Forms;RrO-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 P.lans.plus.a Life Safety Page;(1)set of Energy_Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after-submittai'date.•Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 required for all NEW construction. <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. (AIC upgrades over$7500) <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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