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21-1414
Zephyrhills
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2021
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21-1414
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Last modified
5/9/2022 7:21:15 AM
Creation date
5/9/2022 7:21:13 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
21-1414
Building Department - Name
VILLALOBOS,JUSTIN
Address
5848 CYPRESS ST
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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 8l'J 71� — 7 7 <br /> Owner's Name �US' 17 V <br /> Ad A h0 Owner Phone Number <br /> Owner's'Address �t��b /t55 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> d ' / <br /> JOB ADDRESS I D "35 �T dL 41//J .14-- LOT# <br /> SUBDIVISION • l>y! / /i S PARCEL ID#Fld - eedO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK E:] FRAME 0/ STEEL <br /> DESCRIPTION OF WORK GvV0 X S <br /> BUILDING SIZE SCI FOOTAGE= HEIGHT <br /> =BUILDING $ ps�v VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ /y <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address e%y License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL : COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURR <br /> Address se# <br /> OTHER �COMPANY <br /> SIGNATURE REGISTERED i Y/ N FEE CURREN Lyl N <br /> Address 3l07� �d /�/S��35 Lice IfCt�_avf.77d <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. (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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if.on:public;roadways..needs ROW <br />
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