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19-21980
Zephyrhills
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Building Department
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Permits
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2019
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19-21980
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Last modified
5/11/2020 10:38:58 AM
Creation date
5/11/2020 10:38:55 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21980
Building Department - Name
BROWN,VICTORIA
Address
5554 11TH 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 /> Owner's Name iA0 ry(A Owner Phone Number 5r U 6 V09 Yr� <br /> Owner's AddressJ5 <q Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> I <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCELID#1 h-Z'6-t 1- clot ot/00 -(A <br /> JORTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ED FRAME Q STEEL <br /> DESCRIPTION OF WORK CLA440' Oo-� Wait, A Wz J k4.1 <br /> E= <br /> BUILDING SIZE SQ Q FOOTAGEt= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> WIMECHANICAL 1$r7q00 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER Y <br /> SIGNATURE L COMPANY <br /> I YIN FEE CURREN <br /> Address License#F- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURREA I Y/N I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L_LLN J <br /> Address License# <br /> MECHANICAL o COMPANY <br /> SIGNATURE tt REGISTERED Y/N FEE CURRENN <br /> Address Kj'-p Ire) License# F—(-oA <br /> OTHER COMPANY = <br /> SIGNATURE F REGISTERED I Y/N FEE CURREN Ly N L_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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstar;Site Work Permit for subdIvislonsAarge 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&i 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,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 /> Remofs If shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter it on public roadways..needs ROW <br />
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