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19-21550
Zephyrhills
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2019
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19-21550
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Last modified
4/15/2020 8:51:16 AM
Creation date
4/15/2020 8:51:04 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21550
Building Department - Name
PERRY,MICHAEL & DIENST,DALE
Address
38401 12TH 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 CH/-5Z_ kOO99V w DA'Z67 Dl Owner Phone Number <br /> Owner's Address 537 J7 �O ft .S7— 1 Owner Phone Number <br /> ZCpN vk'H/LLS Fc- 33: of Owner Phone Number <br /> JOB ADDRESS 3F�/D /07 -� i4 VE �E��Y/ S F1 335'ya LOT# <br /> SUBDIVISION PARCEL ID# //-a� 'a/-ODD D -03Sd0-e) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION © BLOCK 0 FRAME = STEEL Qp <br /> DESCRIPTION OF WORK I 11 Ot/ S//vGLE 5q1i7/64/ /fO E `?S J/�10 <br /> BUILDING SIZE I S/ X 3a �I SQ FOOTAGE HEIGHT <br /> OBUILDING $ /�UJ OU VALUATION OF TOTAL CONSTRUCTION <br /> F5WIELECTRICAL Is AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> yvv d <br /> ®PLUMBINGll�V� <br /> ©MECHANICAL $ 00 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER A t/ r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N_ <br /> �j�7 r•/ <br /> s2�s <br /> BUILDER ! COMPANY /f1F}57� ��CONS7CTIDN¢/ mE6!//LDiNG <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N ' <br /> Address a License# I C C 3:5 a 3 7 <br /> ELECTRICIAN COMPANY <br /> i-ID t7LEC7n1 C <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address HG4s°A/ PL-WV7 License# EG' 360 3?.3 <br /> PLUMBER COMPANY 7-k'vY Pc ORf}ZA Pwtne/lvG <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> 9i38 8 A2cA7'RD /Vet✓Po�%/ziu��'Y 3y ss" License# � rya 9971 <br /> Address /.''/ ,�/ <br /> MECHANICAL ��i COMPANY W TS �( n <br /> SIGNATURE (/ REGISTERED Y/ N FEE CURREt Y/N <br /> Address F License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N <br /> Address License# <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 aftei submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1_duripster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans,plus a Life Safety,Page;(1)set of Energy Fortes.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 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. (AIC 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..needs ROW <br />
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