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19-21449
Zephyrhills
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2019
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19-21449
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Last modified
1/8/2020 2:26:24 PM
Creation date
1/8/2020 2:26:23 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21449
Building Department - Name
CROSLEY,JENNA L
Address
39165 9TH AVE
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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 /> Owner's Name S�NOwner-Phone Number c n v <br /> Owner's.Address I 5, VV Owner:Phone Number <br /> hVn 15 l�J� Owner Phone Number. <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R <br /> ADD/ALT = SIGN- _ = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q' SFR Q -COMM = OTHER <br /> TYPE OF CONSTRUCTIONQ BLOCK Q FRAME <br /> � Q STEEL <br /> i Q <br /> DESCRIPTION OF WORK I <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT" wrff �nce <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMRSERVICE = DUKE.ENERGY 0 W.R,E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE.AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE A REGISTERED Y/.'N FEE CURREP Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address. License# <br /> PLUMBER COMPANY. <br /> SIGNATURE REGISTERED, Y/ -N FEE CURRR <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, .Y/N <br /> Address License# <br /> RESIDENTIAL Attach.(2)Plot Plans;.(2)sets of'Building Plans;(1)set OfEnergy 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,Storm-water 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 /> Reroofs if shingles Sewers.-.-•.-Service Upgrades-.A/C,- -Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on:public roadways::rieeds,ROVV <br />
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