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19-21683
Zephyrhills
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Building Department
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Permits
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2019
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19-21683
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Last modified
4/26/2020 9:32:19 AM
Creation date
4/15/2020 2:01:18 PM
Metadata
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Building Department
Company Name
PROVIDENCE BESA LLC
Building Department - Doc Type
Permit
Permit #
19-21683
Building Department - Name
PROVIDENCE BESA LLC
Address
5841 GALL BLVD
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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 33 7ff <br /> Owner's Name Y CS LL<1 7Own' <br /> er Phone Number <br /> Owner's Address ©/Yt t P��!/k/—�q bK pwner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ''^^ c LOT# <br /> Swaalytstew d c] PARCEL ID# "�L oZ��Wl D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCKK� 0 FRAME = STEEL ,J= <br /> DESCRIPTION OF WOR✓Kr��s OG v C D I/e W/ !�`54�P T J <br /> BUILDING SIZE /L J awxl D SQ FOOTAGE 't HEIGHT <br /> YID PP l'P'4�P'e�v�1T1�F`,�FYP•FmI�PYrTF�P'P�4�P @ ITPrZ-P•�P'0"T^e•7�e"P'P�P>rl°°°i�r'rPPi �1�P�P'f <br /> UILDING $//f VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ i V AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION _ f <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> !/�f/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -i . I . . . s-.e�'p '-.- q.�'�• A. /.' o °--�� .�4 ��-'ae'.�- . 1-: .- <br /> BUILDER / Y �' J COMPANY ram!l[ Q l /�Jl.!Gf/L <br /> SIGNATURE REGIS�TEKED Y/ N FEE CURREN Y/N <br /> Al. <br /> Address Sr � 1�1� "A 3 �`i/ License#VBC I'Q <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I1I11111111t1111I1I11I11III1111I1t11111111111t1I1I1I11illlllt111111 <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 dale. Required onsile,Construction Plans,Stormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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,Storrnwater Plans w/Silt Fence Installed, <br /> Sanitary,Facllitles&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 /> .•L-1-1--�I--4-1��•-H-I•d-S-1-wl--{-1-4-L-4-1.•1-4.i-Fa--F-{+{-F-i-6-1-i-I-d-I••I••{�I•.f-Fl-6-L#-1.a-i-1--1-kd-1-1�-1•-1-t-1-d-1--1--F- <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(PloVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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