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13-13940
Zephyrhills
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2013
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13-13940
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Last modified
2/3/2014 1:37:24 PM
Creation date
2/3/2014 1:37:24 PM
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Building Department
Company Name
SLEEPY HOLLOW MHSUB DIV
Building Department - Doc Type
Permit
Permit #
13-13940
Building Department - Name
MALINOWSKI,JOHN & JACQUELINE
Address
38701 REMORA AVE
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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received � �'r Phone Contact for Permittin - <br /> <�' I_ �1 � � q Q >�j <br /> Owner's Name �`� � ��'l �l /► t-1 /t-�(7l.C)� , Owner Phone Number �"t� /-'��7�< i`� <br /> Owner's Address x /0� �f'{'1 a�`C� !� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS x ��� �)'}'I �J LOT# � <br /> SUBDIVISION ���Z�P !,L�-aLl PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK lix l����V RC � ( Z )C Zc� j� j� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ J��O j�[� VALUATION OF TOTAL CONSTRUCTION <br /> f <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY . . C. <br /> �PLUMBING $ � I��1 � f,���,,._-_.-. ----n�"1 �� <br /> � <br /> ���� � <br /> f�,: e s��1 , <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION �� '`j^ �� � <br /> i' � �xr <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � '"� - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ^��-----��� <br /> BUILDER �� �J � � 1C0 PANY 6�� - �wN e �'� <br /> SIGNATURE � , G/���L�-���-�� 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 CURRE� Y/N <br /> Address License# -� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# � � <br /> RESIDENTIAL Attach(2)Plot Pians;(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/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)compiete 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,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes&1 dumpster.Site Work Permit for all new prajects.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 complete�y <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> •' Agent{for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not ove�unter if on public roadways..needs ROW A� � ��� L� A'A��, / �20� <br /> � G /+iG I� <br /> C_./` � �c �, <br />
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