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14-14875
Zephyrhills
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2014
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14-14875
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Last modified
11/11/2014 1:41:10 PM
Creation date
11/11/2014 1:41:09 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
14-14875
Building Department - Name
RAKOCZYNSKI,GLENN
Address
38029 7TH AVE
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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 Permittin — <br /> Owner's Name '�V`- ' �� � ( Owner Phone Number <br /> Owner's Address � � � � C Owner Phone Number r— <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> /J/J _/� � // <br /> DESCRIPTION OF WORK ��� �� `�'� ��, _� T � �J"�C S��✓( <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ � pU AMP SERVICE 2�j PROGRESS ENERGY Q W.R.E.C. <br /> � � <br /> OPLUMBING $ �� <br /> .�(� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALIATiON <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN C���� J COMPANY / ( �J� �( � J� �!C�C '�C c <br /> SIGNATURE "� REGISTERED Y! N FEE CURREP Y/N <br /> Address License# �C.'"Ud��7� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <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. Requ(red onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaGfltles&1 dumpster;Site Work Pem►it 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 r'lans w/Silt Fence instailed, <br /> Sanitary Facilities 8�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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiicaUon,notartzed <br /> If over 52500,a Notice of Commencement is required. (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 Applicatfon Only) <br /> Reroofs i1 shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Caunter if on public roadways..needs ROW <br />
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