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06-5899
Zephyrhills
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Building Department
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2006
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06-5899
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Last modified
3/6/2009 4:19:10 PM
Creation date
6/7/2007 9:26:19 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
06-5899
Building Department - Name
HULIN,KEITH
Address
6153 20TH ST
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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 />OWner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />OWner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />OWner's Name <br /> <br />SUBDIVISION <br /> <br />I <br /> <br />12ct917'~ Lf~("'c 2-e <br /> <br />LOT # <br /> <br />I <br />I <br />! <br />/71 <br />I <br /> <br />2 -r.// .f;/ <br />o ,/)' "f <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I PARCEL ID#I~2.. ~ U .~ "l.J. 0/90 -00 (j 0 \; - Or70 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />B ADD/AL T D SIGN 0 MOVE D DEMOLISH <br />REPAIR <br />0 COMM D OTHER I <br />0 FRAME D STEEL 0 OTHER I <br /> <br />D <br /> <br />D <br />D <br />D <br /> <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br />I r /J/. / <br />DESCRIPTION OF WORK ~ C/-I.4I;' c. ~ ;." ~ F E;N' e €- Zf.t2 <br /> <br />BUILDING SIZE I I sa FOOTAGE 19 ~ ;=r HEIGHT I f? ('" <br />IIIIIII"IIIII"I"III"lllftlll"IIIIIIII,IIIIIII'II'11IIIIIIt,IIII'IIIIIIIIII'IIIIII'IIIIIIIII'111111111'1111'1111'11"11111111111111111111'11'11 <br />1$ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111I1I111111I1111111 <br /> <br />:~~~~RE lL I~)~ 7 <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE 0 PROGRESS ENERGY Q <br /> <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION & ~ <br /> <br />.W.RE.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />Address ~1-5cr /l::- ,1/ /YI .5'7 <br /> <br />Ld//' f <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />License # <br /> <br />1111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II11111111111111111 <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 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1I111111111111111111111111111111111 <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 NC <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />
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