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19-21642
Zephyrhills
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Building Department
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Permits
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2019
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19-21642
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Last modified
4/26/2020 9:27:58 AM
Creation date
4/15/2020 12:55:41 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21642
Building Department - Name
WHITE,WILLIAM & REBEKAH
Address
5330 16TH 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 /> . ......... . T., .......... ............ <br /> Owner's Name &,122 Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS cSOL LOT# <br /> SUBDIVISION PARCEL ID# 1 ?,w-6 1( o I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 <br /> ADD/ALT SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK j 0 FRAME STEEL <br /> DESCRIPTION OF WORK o74 .J-�)1w /-/,(/ fdlar h Lvkl,�_ <br /> BUILDING SIZE r SO FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> �0 ELECTRICAL AMP SERVICE = DUKE ENERGY W.R.E.C. <br /> =PLUMBING V 1�_4 2-1 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 111! H <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED J�YON I FEE CURREN Y/N <br /> Address License# 1 C&C-JJO 5 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREN JUYIN <br /> Address License# I EC1,3<)6)6('a <br /> PLUMBER COMPANY <br /> SIGNATURE f I REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE1% <br /> Address _7 License# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Ly/.N J <br /> Address Ucense# <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 wl 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,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 /> 4 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign ba&'df-application,notarized., <br /> If over$2500-.6'k666 of,Commienem'pp't, Ip:re-q9ir*d'd: (A/C upgrades over$7500) <br /> Agent(for the contractor}-br Power of Att6mey'(fdr,the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING.' (copy of contract required) <br /> Reroofs if shingleg: Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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