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19-21771
Zephyrhills
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Building Department
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Permits
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2019
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19-21771
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Last modified
5/11/2020 8:29:48 AM
Creation date
5/11/2020 8:29:45 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21771
Building Department - Name
GROSS,SUZANNE & JAMES
Address
5337 19TH ST
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r, 1 Phone Contact for Permitting <br /> Owner's Name �uZq�1� �— 'Cq �9�`�1�-� Owner Phone Number <br /> w" <br /> Owner's,Address l o Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS \ 0\ S � � � � LOT# <br /> SUBDIVISION Olx 1t\ PARCEL ID# A Qk Z ^ WNQ� R�— UM <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E:C. <br /> =PLUMBING $ <br /> ©MECHANICAL $ t` VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> LL-7BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N' FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE S REGISTERED Y/ !N FEE CURREN <br /> Address License# <br /> t OTHER COMPANY,_ <br /> R SIGNATURE REGISTERED Y/ N FEE CURREN 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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/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 /> 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$7500) <br /> Agent(for the contractor)-or Power.of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING.=' -"(copyof,contraaf required) <br /> Reroofs if shingles Sewers "';•$ervice•Upgrades-A/C : Fences(PlottSurvey/Footage) <br /> Driveways-Not over.Counter,if on%publib roadways.:needs.ROW <br />
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