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19-20979
Zephyrhills
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Building Department
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Permits
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2019
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19-20979
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Last modified
1/15/2020 10:33:45 AM
Creation date
1/14/2020 11:57:48 AM
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Building Department
Company Name
PARKHILL
Building Department - Doc Type
Permit
Permit #
19-20979
Building Department - Name
BARTHOLOMEW,BRENT MICHAEL
Address
6153 17TH ST
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> rrrrrrrrrrrrrl,rrrr...... ........ ...... ...... <br /> Owner's Name Owner Phone Numbs <br /> Owner's Address[4� .5:3 S� Owner Phone Number <br /> tFL <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK 37C1.JZV4J1�Wce, <br /> BUILDING SIZE SQ FOOTAGE 1 I HEIGHT <br /> BUILDING ) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 1 1 1 1 a 1 2 <br /> BUILDER COMPANY 0t4M_Rr <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LjLNLJ <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LXLN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L)L/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_Y_L N <br /> Address License# I <br /> HHHH! HHHHHHHHH HHHHH+tf I HIIIHHHHHHHH <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perm'it 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 dumpstdr;.Site Wdrk_Permlt 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)�workifig days after submittal date. Required onsite,Construction'Plans,Stormwd'ter Plans`w/Silt Fence installed, <br /> Sanitary Facilities&1.dumpst6r..SIte Work Permit for all new projects.All commercial,requireimenits must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 4 D=t4 .......... <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 owns_r),%youldpe someone with notarized letter tgrR,.PWPP-E.9ut.horizi,p,g,,Igagle <br /> THE COUNTER PERMITTING— copy oicontract req'b'iired" <br /> ihingies Sewers Seryid16b, rades VC ::Fences(Plot/Survey/Footage) <br /> -Not over Counter if on 666iio rop ays;.needs ROW <br />
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