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06-5807
Zephyrhills
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2006
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06-5807
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Last modified
3/6/2009 4:19:41 PM
Creation date
6/5/2007 9:47:14 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
06-5807
Building Department - Name
LIPPINCOTT.CARL
Address
5924 14TH ST
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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-B13-780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />I <br />I <br />I <br />I LOU 1'3- JD I <br />PARCELID#II \ . ~lP o~ I .DD I D . D~DO o. DJ7~ <br />(OBTAINED FROM PROPERTY TAX NOTICEI <br />o SIGN 0 MOVE 0 <br /> <br />tXJ OTHER 1(2 oQ P lete ~ mef\ t- <br />O STEEL 0 OTHER I <br /> <br />f2- ~p l ClCL yY\ C-t1 1- <br /> <br />I HEIGHT I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />15994 <br />I <br /> <br />\L.\~ <br /> <br />3 t-Ree:\- <br />I <br />B <br />D <br />D <br />\t eR t-e..( <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />o <br />o <br />I vJcl.-h~_\ <br />I <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />SFR <br />BLOCK <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE I <br /> <br />0 BUILDING IS I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL IS I AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C. <br />~ PLUMBING IS.300.DO I <br />0 MECHANICAL IS I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS 0 ROOFING D SPECiAlTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNa <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />license # <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />~ <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (to) working days after submittal date. Required onsite, 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 />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application. notarized <br />If over 52500, a Notice of Commencement Is required. CAlC upgrades over 55000) <br /> <br />Agent (for the contractor) or Power of AlIomey (for the owner) would be someone with notarized leller from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />
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