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14-15403
Zephyrhills
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Building Department
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Permits
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2014
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14-15403
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Last modified
8/17/2015 9:15:07 AM
Creation date
8/17/2015 9:15:05 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
14-15403
Building Department - Name
BURGESS,WILLIAM & AMBER & MATT
Address
6626 FOUNDERS ST
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e�a;�eaoo2o City of Zephyfiills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received Phone Contact forPermittin — <br /> Owner's Name � � ��� Owner Phone Number p�7 `$ 8" 7 Z <br /> Owner's Address � (� �v• Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� 7 �T� �V- Z �' ►'� �U'S '�- �Q7��� LOT�! � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR B ADD/ALT Q SIGN � [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��� � <br /> BUILDING SIZE � � . SQ FOOTAGE� HEIGHT <br /> BUILDING 3 • �' VALUATION OF TOTAL CONSTRUCTION <br /> ��.� <br /> QELECTRICAL $ AMP SERVICe Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � /��� <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> � J <br /> QGAS Q ROOFING � SPECIAL7Y 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> / <br /> BUILDER ��""'" , � � COMPANY <br /> SIGNATURE 1 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO 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 REGISfiERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Co�struction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadNtles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safdty 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 Faalities 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 constructiQn. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over SZ500,a Notice of Commencement is requtred. (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 AppUcation Only) <br /> Reroofs if 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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