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12-12835
Zephyrhills
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2012
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12-12835
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Last modified
2/5/2013 9:10:37 AM
Creation date
2/5/2013 9:10:36 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
12-12835
Building Department - Name
PABON,ISRAEL & MARIA
Address
4841 16TH ST
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Received �-���-- Phone Contact for Permittin ,�ja � � - 9 �7 <br /> hvner's Name � Owner Phone Number � I �J — <br /> )wner's Address �� t� �,r �L Owner Phone Number <br /> 'ee Simple Titleholder Name Owner Phone Number <br /> 'ee Simple Titleholder Address <br /> lOB ADDRESS " � � " �� - � - LOT# � <br /> �. <br /> iUBDIVISION � PARCEL ID# 1����O�I "O�/�����yb� � �j/� <br /> (OBTAINEU FROM PROPERTY TAX NOTICE) <br /> dYORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION [�'] BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /, C �1an p U� C� <br /> BUILDING SIZE SQ FOOTAGE�� HEtGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> CiIL U I ,7` � � <br /> �MECHANICAL $ � �, VALUATION OF MECHANICAL INSTALLATION � � \ <br /> QGAS C] ROOFING Q SPECIALTY [� OTHER ,� �� <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N <br /> BUILDER • COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY ��S � H'( B <br /> SIGNATURE � � G�.,,l�" REGISTERED Y/ N FEE CURRE� /N <br /> Address �.9��3 d�- �� 3f�/ L7 � �r�'� �/`f�O_S�S 7� <br /> 5aS License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �_ � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minlmum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)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 8�1 dumpster.Site Work Perm(t for all new projects.All commerciai requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over ST500) <br />" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMI7TING (Front of Application Oniy) <br /> 2eroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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