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19-21105
Zephyrhills
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2019
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19-21105
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Last modified
6/4/2019 8:25:36 AM
Creation date
6/4/2019 8:25:36 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21105
Building Department - Name
BARTH,PHYLLIS & BERNARD
Address
5251 BELTRAM DR
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v I V r u v `/vvl <br /> S73 Teo oozo I City of Zephyrhills Permit Application Fax-813-78aao21 <br /> ' C_ Building Department gyrop, �P <br /> Oats R®coRrod - s f Phwo Contact for PGrmhSn fr/�.$ 9y,��/ <br /> Ownsea Nerns E�er.,A�1 r� i��fZR H Owner Phone . . . . .Number ��/�-�J "" <br /> Owner's Address Ie-1 Owner Phone Number <br /> / Fee Simple THlahoIds Name Owner Phone Number <br /> l' <br /> Fee Simple Tltlsholds Address <br /> JOB ADDRESS .� I C' �`` '0W-'Ve- LOT# <br /> SUBDIVISION 1 2 Pf' —%4 PARCEL ID#I X) A,- L S <br /> (ONTMNED FROM FROPISITMAX n07iCE <br /> WORKPACPOSED ElNEWCONSTRB ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRU ON = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF RK G .L4C4 LA t. i It See . '-'f <br /> BUILDING SIZE SO FOOTAGE HEIGHT 1� <br /> =BUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRIC S AMP SERVICE = PROGRESS ENERGY = W.RE.C. <br /> =PLUMBING S <br /> 1�31611ECHANI $ o 7 sz VALUATION OF MECHANICAL INSTALLATION <br /> = AS G = •, ROOFING Q SPECIALTY.= OTHER <br /> FINISHED FLOOR ELWATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER. COMPANY <br /> SIGNATURE REGISTERED -Y/N I FEE CURRET Y/N <br /> Address Ucwm# <br /> EL ECTR)CIMI COMPANY <br /> SIGNATURE REGISTERED Y/N FEE rxrRRe Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURIM Y/N <br /> Address Cleanse# <br /> IIIECHANICAL COMPANY pevlce! <br /> bpti�� <br /> Ira, <br /> SIGNATURE REGISTERED Y/N I FEE CURRM <br /> Address �.�j Ll w ' License# Ac/ % 7 <br /> OTHER: COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURR9, LjLLN <br /> Address Cleanse# <br /> i-17'Tl T"7"T 77-T7"I'T'1"1-fl"1"'1'i"T'7"7-TT'7"I"1'"1'I7 TT T 1 I7 1'r1'7"I7T7"1"7'"7 T"T"1 TT7"TTT-T7 1 7'T"T"T <br /> RESIDENTIAL rh(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permk for new construction,--��_.._.__. fr-mi Won a ldate."f uGodvam;*Cobebuwm—p1rw Slomtlwat"erPxm-wlStttFeffea-Installed. <br /> Very Fadtitlas 61 dumpater,She Work Permit for eubdNlslondlafge pro)oda <br /> COMMERCIAL (a)complete seta of Building Plena plus a Ufa Safety Pegg;(1)set of Energy Forma.RAW Permit for rww ean3buctlon. <br /> inimum tan(10)wwft days after subrNttsi date. Required andte,Con*ucUon Plans,StomwMtw Plana w/Slli Fence Inatatled, <br /> ltery Facilities 61 dumpater.She Work Permit for all new pro)eeta All commercial requirements must meet compliance <br /> SIGN PERMIT (2)Bete of Engineered Plans. <br /> ROPERTY SURVEY ragtdmd for all NEW construction. <br /> Dinretlons: <br /> Fill out sppli completely. <br /> OMaror 8 Contr ctor aign basic of eppiieatlon,notarized <br /> N over$2M, Notles of Commencement Is required. WC uPOredes over S7WO) <br /> Agent(for the i wftdw)or Power of Attorney(for the owner)would be someone with notadzed letter from owner authortrJng same <br /> OVER THE R PERMITTING (Front of AWI atlon Only) <br /> Reroofd h shingles Sewers Service Upgrades AIC Fences(Plot/SurveYlFootaga) <br /> DrlvwAmys-Na over Counter h on publle roedwap-needs ROW <br />
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