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19-20694
Zephyrhills
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Building Department
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Permits
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2019
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19-20694
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Last modified
1/14/2020 7:00:46 AM
Creation date
1/14/2020 7:00:45 AM
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Building Department
Company Name
ORANGE BLOSSOM RANCH
Building Department - Doc Type
Permit
Permit #
19-20694
Building Department - Name
CHAPMAN,LYNNE
Address
4509 BLOSSOM BLVD
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City of ZephV[hiUs Permit ApplicationFo»V 3-78V-0Oo1 <br /> Building Department <br /> Date Received Phone Contact for Permitting L15�6 So i c I <br /> Owner's Name Owner Phone Number <br /> Owner's AddressF Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS <br /> SUBDIVISION PwmoEL|o# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mowcowsm AD[V8LT F---1 S|GN �—1 F—� DEMOLISH <br /> L_] INSTALL R <br /> REPAIR <br /> PROPOSED USE F--! SFn �—1 COMM F---1 OTMER <br /> TYPE OF CONSTRUCTION �-7 BLOCK �—| FRAME �--� STEEL <br /> DESCRIPTION OF WORK <br /> oV|LD|mG SIZE SO FOOTAGE[ ] HEIGHT <br /> F--�BV|Lo/NG <br /> �—� VALUATION OF TOTAL CONSTRUCTION <br /> F--7ELECTR)CAL AMP SERVICE �---| oUKEENERmv [--1 vY.R.E.C. <br /> . ° <br /> =PLVMB|NG " <br /> =wECHAw|CAL VALUATION Or MECHANICAL INSTALLATION <br /> =GAS �—� ROOFING F—1 SPECIALTY F---1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE asa/arsnso resuunns^ <br /> Address Lioenae# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nso/onsnsm pssuunns^ <br /> Address L|oenoo# <br /> PLUMBER COMPANY <br /> SIGNATURE nsomrsnsn pssoonns^ <br /> Address License L|oenne# <br /> MECHANICAL COMPANY <br /> SIGNATURE nso/aTsnso resconnsN <br /> Address License# <br /> OTHER <br /> SIGNATURE REGISTERED <br /> Address I Liconoo# <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(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1dumpoter Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach<o>complete sets of Building Plans plus aLife Safety Page;(1)set o[Energy Forms.p-O4m Permit for new construction. <br /> Minimum ten(1o)working days after submittal date. Required vnn/m.Construction Plans,omvnwmoe,Plans*/Silt Fence installed, <br /> Sanitary Facilities&1 dumpntec Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)Sets of Engineered Plans. <br /> ^~°°PmOPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner QContractor 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)o,Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy v[contract required) <br /> nomnfsi,shingles Sewers Service Upgrades A/C Fennon(P{pttSu^vey/Footaoe) <br /> Driveways-Not over Counter ifon public modways..nneduROW <br />
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