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07-7058
Zephyrhills
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Building Department
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Permits
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2007
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07-7058
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Last modified
3/6/2009 4:33:03 PM
Creation date
8/6/2008 7:40:06 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7058
Building Department - Name
BERTRAM,MARY ANN
Address
5304 16TH STREET
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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 /6 <br />-4110 <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 Namel <br /> <br />D <br /> <br />Fee Simple Titleholder Address I <br /> <br />'IS30cj (&,~ ~Q~t. <br />I I <br /> <br />g NEW CONSTR D ADD/ALT ["QJ SIGN D <br />INSTALL ~ REPAIR /'" <br />PROPOSED USE SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK ~ FRAME q ST&. D <br /> <br />DESCRIPTION OF WORK I ~ ~ ~ / 'J- 'i 3;) c. \& ' <br /> <br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I <br />1111111111111111111111 111I 11111111111111111 . .. , , 1111 , I P11 , III II I 1111111111 . II , , .. , 111111111111111111111111111111111111111111 , ' 1 . I11I11 ' 11111111111 <br /> <br />1$ 5'9 '-I S c;E <br />1$ <br />1$ <br />1$ <br />D <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL ID#I <br /> <br />WORK PROPOSED <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />DYES <br /> <br />;J~U!iJ <br />iJr\~ <br />,0lI. /y" jrJ <br />DNO . 1';~MJc <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br /> <br />OTHER <br /> <br /> <br />I\r~~ ~~ <br />Y I r FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMMERCIAL <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 />I1I1111111111111111111111111111111111111I11111111111111111I1I1II11II11III111111111111I1I1I1II11111111I111111I11II11111I1111111111111111I1111111111 <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 Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />SIGN PERMIT <br /> <br />..11....11........111...,....................11.......111..,....11..1111.111.........111..111..111......111.11..111.......1111.................... <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 Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />
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