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14-15041
Zephyrhills
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2014
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14-15041
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Last modified
3/16/2015 10:55:03 AM
Creation date
3/16/2015 10:55:00 AM
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Building Department
Company Name
GRAND HORIZONS
Building Department - Doc Type
Permit
Permit #
14-15041
Building Department - Name
REBARKOFF,ROBERT
Address
37301 GILL AVE LOT 167
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813-780-0020 City of Zephyrhills Permit Application Far,-813-780-0021 <br /> - Building Department <br /> Date Received Phone Contact for Pertnittin O i3 �O�- _ I�� <br /> Owner's Name � Owner Phone Number <br /> Owners Address � ( ���' Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> �J <br /> JOB ADDRESS 3Z3IJ� CI� I 1'U LOT# I�� <br /> SUBDIVISION CQ(\ PARCEL ID# 34-a5-a I-O►4o"� —��p 2� <br /> (OBTAINED FROM PROPERTY TN(NOTICE) <br /> WORK PROPOSED e NEw CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM O OTHER —� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK L ( � �/ �aj 1 w` �j `F' � (r J <br /> BUILDING SIZE SO FOOTAGE� HEIGHT �_] <br /> �UILDING $I 1 �� � VALUATION OF TOTA�CONSTRUCTION l^ S I Z� � /�"� �� <br /> l <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �h �S <br /> QPLUMBING $ �/? <br /> /f�(}L. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER J�'���� / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � l l <br /> BUILDER �`.G�x�`i �Z�. ""ROMPRNY� � / N CM1u//RE�/�� � <br /> SIGNATURE <br /> Address <br /> f.i�'S 1��L/S � �' <br /> ns <br /> ELECTRICIAN !/ COMPAN <br /> SIGNATURE REGISTERED Y/ N FEE CURREf. Y/N <br /> Address <br /> License# —� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address —1 <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address —� <br /> License# <br /> OTHER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> '�d�$$ License# � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-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 Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of 8uilding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets M Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construdion. <br /> Directions: <br /> Fill out application completely. <br /> Owner&CoMractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC 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'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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