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20-1184
Zephyrhills
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Building Department
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2020
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20-1184
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Last modified
6/6/2022 8:10:01 AM
Creation date
6/1/2022 8:12:56 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
20-1184
Building Department - Name
JIMENEZ,SANDY
Address
5335 20TH ST
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e13-7Po-W20 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received r 2,Q26 Phone Contact for Permitting <br /> ttElHEEE !!EH! <br /> Owner's Name t�- Phone�, Y' Owner Number/ ` <br /> Owners Address 5335 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ((Z)3 3; L7 Z � f LOT# <br /> SSUBDIVISION1.` U G 4?h r h it 1 PARCEL ID# I'240 p� 16')75 X-,C0b 0 <br /> (osraNEo FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK cS 3 J r YVI <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> X-NE-sr<s <br /> ZECTRICAL <br /> ING $ VALUATION OF TOTAL CONSTRUCTION <br /> $jfflZ AMP SERVICE PROGRESS ENERGY Q W.RE.C. <br /> =PLUMBING $ o <br /> =MECHANICAL $ VALUATION OF MECHANIC IN ST TIJ <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> D S <br /> d <br /> BUILDER COMPANY /r <br /> SIGNATURE F REGISTERED Y/N I FEE CURREN Y/N /1p <br /> Address License_ <br /> ELECTRI COMP ' 0 v /�n • <br /> SIGNATURE REGIsTfMD Y N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY ��N <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> Address License# <br /> !!!!!t!!!! iltitlt.tlitlt9ltlt!!!t!!!lti8!liit!ltttllilt!!t!ilitlti!!!flt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-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 Facilities&1 drmmpster,Site Work Permit for subdivisions/farge 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 Attomey(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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