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14-15208
Zephyrhills
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Building Department
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2014
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14-15208
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Last modified
3/30/2015 11:56:24 AM
Creation date
3/30/2015 11:56:22 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
14-15208
Building Department - Name
PHILLIPS,EDISON
Address
7331 GALL BLVD
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813-780-0020 City of Zephyrhills Permit Application Fau-913-780-0021 <br /> Building Department <br /> , Date Received �( -� phone Contact for Permittin 35'z 83S -- 7 qq S <br /> I <br /> Owner's Name � ,S � 1 On Owner Phone Number <br /> Owner's Address /� �I /V I a Ke ('. Owner Phone Number �� <br /> Fee Simple Titleholder Name -� Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> �J <br /> JOB ADDRESS �� I Ci�I f'T�P+• LOT# [� <br /> SUBDIVISION PARCEL ID# �4-�J^ ��'�/�/���00.30(,��� <br /> (06TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR B ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � �-� <br /> DESCRIPTION OF WORK �e��J/�/v� �h'}'Y�Q/� �(�7`(P�(�� � <br /> BUILDING SIZE ��v SQ FOOTAGE� HEIGHT C� <br /> �BUILDING $ �� �jy7 VALUATION OF TOTAL CONSTRUCTION <br /> [�� <br /> �ELECTRICAL $ � ^OO P SERVICE ZOQ � PROGRESS ENERGY � W.REC. <br /> �PLUMBING $ �j q/�y��7 C����'�-� / <br /> / WV %� ' ��. / �� <br /> �a, j( V �/` <br /> �MECHANICAL $ i� VALUATION OF MECHANICAL INSTALLATION �� I�] <br /> W. ��''.`�p �-�' <br /> �GAS � ROOFING � SPECIALTY � OTHER �// � ,`1 �,Y�"� <br /> � v.� �I��`� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES � <br /> �!�� <br /> BUILDER �� �- �'j ,f� �(� �1 � <br /> � � �CC �ANY �O 1�7 .S. �✓�G• � ( _'.,,+�' T <br /> SIGNATURE RE�isTEREo N FEE cuHaENr Y/N i'�y� <br /> Address ��i License# �U� �SZO y0 ',"���._ G��� <br /> J�\ ��• <br /> ELECTRICIAN / ANY C�i�Q.� �I�.��G• �"'/j� / � U�'''. <br /> SIGNATURE REcisrEREo Y! N FEE curzaENr Y/N �� , �I�y J��, <br /> l � <br /> Address License# � �3�3 � <br /> 4�4� <br /> PLUMBER ANY SVNC,OA � (�Y�'I aj I ` �;;/ <br /> SIGNATURE REcisrEREo Y/ N FEE cuaRENr Y!N 1Q..�� • <br /> Address J_� � � License# C FG Q�$�c/� /� <br /> '-1 <br /> MECHANICAL PANY WS�.����111 ��.. �C,/�(`j <br /> �t �+ '+ SIGNATURE � ,�� ���\�L REGISTERED Y/ N FEE CUP.RENT Y/N <br /> 1/ <br /> G�G� ���� Address ��`� �!i ' 1'�3 License# l7 \y� <br /> �. , � <br /> ,���� OTHER COMPANY <br /> �' SIGNATURE REcisrEREo Y! N FEE cuRRENr Y/N <br /> Address License# � <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Building Plans;(t)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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-0-W Permit for new consVuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanftary Facilities&1 dumpster.Site Work Permit for all new projecis.All commercial requiremenls 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 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 letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs rf shingles Sewers Service Upgrades A1C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter d on public roadways..needs ROW <br />
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