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06-5657
Zephyrhills
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Building Department
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2006
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06-5657
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Last modified
3/6/2009 4:20:36 PM
Creation date
5/29/2007 10:47:02 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
06-5657
Building Department - Name
LIBERTY PROFESSIONAL
Address
38522 CR 54 E
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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />! Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Fee Simple Titleholder Address <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I <br /> <br />I <br />B <br />D <br />D <br />Ko L<:)~j11 Yk c f <br /> <br />I SQ FOOTAGE I <br /> <br />ADD/ALl <br />REPAIR <br />COMM <br />FRAME <br /> <br />I LOT# I <br />PARCEL ID#I 02 -~/O- 21- 00(00 - 00 LOO - CD 10 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br />vi Of L <br />I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />.11.........111.............111................111..........1........111........11........11111...11111............11.11........11.11............. <br /> <br />D BUILDING 1$ I <br />D ELECTRICAL 1$ I <br />:V~BING 1$ I <br /> MECHANICAL 1$ /qt50~ t/P I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />...111....111.........11........11...11.11...11111..11...............11111..11111.11.......11........111.....11...1111.1111...........11.......... <br /> <br />COMPANY <br />REGISTERED <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />License # I I <br /> <br />I ~>:~~f ~~t~ (~t\~C?'-4- <br /> <br />, License # I Lg..::z.. I <br />I <br />I <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />11111111111111111111111111111"'11111111111111111111111111'"1111111111'1111'.'.'111111111'.11111111'111'1'1'1111111111".1"1111111111111'1111".' <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />"I'IIIII.I...~~III~IIIIIIIII..III~II&IIIII.~IIII~~IIIIIIIII..~~IIIIIIIIIIIII.III~.IIIIII.J~I~IIIIIIIIIIIIIIIII&I~IIIIIIIII&I~IIIIIIIIIIIIIIIIIIII <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />
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