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14-15721
Zephyrhills
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Building Department
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Permits
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2014
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14-15721
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Last modified
8/27/2015 1:03:57 PM
Creation date
8/27/2015 1:03:56 PM
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Building Department
Company Name
GRAND RESERVE
Building Department - Doc Type
Permit
Permit #
14-15721
Building Department - Name
HOLT,RICHARD
Address
37205 NEUKOM AVE LOT 336
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tl��-�tl�-���� C:ity of Zephyrh Ils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> L <br /> pate Receieed Phone Contact f r Permittin ; (� -- �U <br /> > • . <br /> Ovbner's fdame � � Ovvner Phone Idumber �� ��'�V <br /> Owner's Address `(' � �(�' Owner Phone Mumber <br /> � r\ <br /> 1�er�lame � O v ` O�nrner Phone idumber <br /> Fee 5lmple T.itleholder Address <br /> JOB d1DDRESS �. - 1 S '"l LOT# � <br /> SUBDIHISIQ�fd �`(_(�� �Q�1�_�('�� . PARCE ID# 'Ot�" I '�� r' "3 (�O <br /> (OBTRINED FROAA pROPERTY TAX NOTICE)' <br /> WO�t�t PROPOSED � NEW CONSTR 8 ADD/A � SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PPtOPOSED U�E � SFR Q COMM � OTHER <br /> Tl(PE OF CO�STRUCTIOM Q BLOCK Q FRAME 0 STEEL Q �Q ' � '.}�(�{'� <br /> i D�SCRIPTIOM OF MlORF( � 1 � l� ��Q � � � � �� <br /> �UIL.�II�G SIZE � SQ FOOTAGE �� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �9,OQO <br /> QELECTRICAL $� AMP SERVI E a �jO .� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �� <br /> � � ��� <br /> QMECHANICAL $� ��� VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECI TY � OTHER �(���� <br /> FIMISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ' C i�IPAMY �'rnZ � � ( '— <br /> SIGfdATURE RE ISTERED Y/ IV FEE CURRE� Y/N <br /> �address r ,��-+� License# J-� �(� �� <br /> ELECTRICIAfd C MPARIY � �� y�-S i <br /> �IG(dA'II'URE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address Q , `Q� - � `o� License# � /��5 <br /> �LIDIHIBER C MPAMY (�� <br /> �sIGR�e��UR� f `� RE ISTERED / N FEE CURRE� Y/N <br /> �lddress i �� 3 u� License# (T � /V <br /> MIECHAMICAL C MPAIdY <br /> SIGRfATU1tE RE ISTERED � Y/ N FEE CURRE� Y/N <br /> Address `i��} S License# �-i' � <br /> OYFdER C MPAMY <br /> SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> 6lddress License# <br /> RESIDEMTIAL 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. qufred onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Faclllties 8 1 dumpster;Site Work Permit for ubdivisions/large projects <br /> COiiAMERCIAI Attach(3)complete sets of Building Plans pius a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minlmum ten(10)working days after submittal date. quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster.Site Work Permit for II new proJects.All commercial requirements must meet compliance <br /> SIGId PERNIIT Attach(2)sets of Engineered Plans. <br /> '"'•PROPERTY SURVEY required for all NEW cons ction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Motice of Commencement is requlred. (A/C upg ades over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same <br /> O!lE6t THE COUNTER PERRAITTItd63 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fence (PIoUSurvey/Footage) <br /> Dr6veevays-Not o`ver Coun,tec if,on•public roadways:.nee'ds ROW - - � ..- .-.. ___. .._,._., . ....__ ....r. . <br /> „ � ,�. . , g <br /> , � ,_,i. ; .„y, , , �. , _ , ,� ... • � - - s <br /> , �. .,� �. �,� .. .,., ., :_ • _` . , ; � . . � ,, _ . . �, . , . � � <br /> .,."" .......... ....f.. ._.- ...�_�...�-.........j�1 r . ' ' „ 1 . ' � <br />
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