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08-7224
Zephyrhills
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Building Department
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Permits
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2008
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08-7224
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Last modified
3/6/2009 4:48:22 PM
Creation date
5/7/2008 10:05:44 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7224
Building Department - Name
ASSET & PROPERTY
Address
4802 6TH 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 /> <br />",. . <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholde.r Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple TUJ!'}holder Address <br /> <br />JOB ADDRESS <br /> <br />o/<JO Z- <br /> <br />/7 1'( s-f <br /> <br />LOT # <br /> <br />PARCEL ID#I/'/-;; ~ - 2/ -t)O /0 -t")~ g ('J 0 -O/.s;-O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />I <br /> <br /> <br />D NEW CONSTR r=J <br />~ INSTALL D <br /> <br />PROPOSED USE ~ SFR D <br /> <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />DESCRIPTION OF WORK L~.o/,.,t~ W#~/J Alellf~;-. <br /> <br />BUILDING SIZE ' I SQ FOOTAGE I HEIGHT I <br />mrrmTTl' 11111111111111' 111111111111111111111111111111111' 111111111111' 11111" 11111111 r" 111111111111111' I' '11111111111111111' I'" 11111111" <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />1$ I <br />1$ I <br />1$ I./co, 00 I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11I1111111111111111II11111111111111111111111111I1111111111I1111111111111111II11111111111II11111111111111I1111I111111111111111111111111111111111111 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />D BUILDING <br />D ELECTRICAL <br />~ PLUMBING <br />D MECHANICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br />111I1111111111111111111111111111111111111I1111111I1111111111111111111111111111111111I1111111111111111111111111111111I11111111111111111111111111111 <br />RESIDENTIAL 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. Required onsite, Construction Plans, Stormwater Plans wI Slit Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br />Attach (3) 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. Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />ff~Y /1/ <br /> <br />COMPANY <br />REGISTERED <br /> <br />t:183.t:l.S- <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />YI N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # I <br /> <br />1 fJ;/n~ ant:r~o~ #UJJ7Ir~ <br />I Y I N I FEE CURRENT I Y I N I <br /> <br />License # ItZP09S77 /~ <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />11111......11....1111...11..,11...11..................11.11....11........11...........11...11.11.....111.............1111...................111111 <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. (A1C 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 A1C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />
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