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19-21322
Zephyrhills
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Building Department
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Permits
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2019
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19-21322
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Last modified
1/8/2020 1:35:55 PM
Creation date
1/8/2020 1:35:54 PM
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Building Department
Company Name
EMERALD POINTE
Building Department - Doc Type
Permit
Permit #
19-21322
Building Department - Name
HAGEWOOD,LARRY & BETTY
Address
3434 MALACHITE DR
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Oers Name Lo«y 1 a (,W C O(, Owner Phone Number Z��2 `O 5 5 `11 <br /> wn <br /> Owners Address ` ca ac,�-vtf, Dr Owner Phone Number t J���'���3 <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address 2 <br /> JOB ADDRESS J Y 1 a 0.0 �f C -,I I L 3 LOT# <br /> SUBDIVISION PARCEL ID#L -94-Z1-0040 -0e000— HOC <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT IJ SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION (= BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK T1Q l OLC,n W Md'oI.&S sT Q Fy C 1 ZQ <br /> BUILDING SIZE I I St]FOOTAGE HEIGHT <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1 1 AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1/ <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 4V <br /> BUILDER / �yOMPANY .1tI �lOIS <br /> SIGNATURE r/ REGISTERED Y/ FEE CURRFh ZIN� <br /> Address Y t'V On Q License# EK'O -z Z1 O <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn LXLN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> MECHANICALF COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREn L11 N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> I I I I IJ 111 1 11 11..1_I.111.11111 11.1 11111 111_.11 11 111111_I 1 1 11 1.1 11 1 1_I_I 1 11_I 11 1.1_I <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 subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater 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. (A/C 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 /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />
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