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19-21276
Zephyrhills
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Building Department
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2019
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19-21276
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Last modified
1/8/2020 11:25:12 AM
Creation date
1/8/2020 11:25:11 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21276
Building Department - Name
GOODWIN,TERRY
Address
5842 12TH ST
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813.780-0026 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> DateReceived <br /> Phone Contact for" Permitting - <br /> -F1 -rT-ir"i"'f'" <br /> Owner's Name I AX Owner Phone Number <br /> Owner's Address J D Owner Phone Number <br /> Fee Simple Titleholder Name; Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS " LOT# <br /> SUBDIVISION PARCEL ID#' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) _ <br /> WORK PROPOSED e NBNOONSTRE ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM 0 OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK . ' <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R;E.C. <br /> '=PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER , COMPANY <br /> SIGNATURE REGISTERED I Y/ N_J FE CURREN Y IN �-- <br /> Address License#. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE. REGISTERED, I Y/ N. FEE CURREN Y/N <br /> Address License# �^ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Y/N <br /> Address License# <br /> 1 >Eli.1.1 /.i1111l1E.1.1 >lal111. 11.1. 14.1.11, 1411 .1.111l1111111 /.it11.1.111.11111. 1YJ1 / 1.91 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,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,Storrriwater 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$2600,a Notice of Commencement is required. -(A/C upgrades over$7600) <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 it 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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