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08-7759
Zephyrhills
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2008
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08-7759
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Last modified
3/6/2009 4:45:57 PM
Creation date
9/19/2008 11:04:21 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7759
Building Department - Name
JERRY'S CRYSTAL BAR INC.
Address
5012 5TH STREET
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<br />813-780-0020 <br /> <br /> <br />, <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br />SUBDIVISION <br /> <br />PARCEL ID#I <br /> <br />I <br />I <br />I <br />I LOT# I I <br />\ \ -J.{,- J.l-CXl\O ~01~6o..o03d <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />00 SIGN D MOVE D <br /> <br />D OTHER <br />D STEEL D <br /> <br />,.:/~ -- C' '\. <br />C.-<:J' .,.J ~ I y~ <br /> <br />I HEIGHT I <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 />Fee Simple Titleholder Address <br /> <br />D <br />D <br />D <br />D <br /> <br />I\S A.~ we <br />I <br /> <br />o NEW CONSTR D ADD/AL T <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM <br />TYPE OF CONSTRUCTION D BLOCK D FRAME <br /> <br />DESCRIPTION OF WORK I \ N :-r\C~ C \.l ~\.) Cr!:,'; t"j.-6 <br /> <br />I ~d.. L CC\ I SQ FOOTAGE I <br /> <br />1,111..111...111..111..11...11..111,111...,,11...11...11.......111..........11....111..'......'...111.......111.......11......11'111............... <br /> <br />lUrD&l~ <br />1$ . <br />1$ <br />1$ <br />DGAS D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />(; AM'f. <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />I <br />I <br />I <br />I <br />D <br />I <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 />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIAL TV D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br /> <br />~u <br />I Y/ N <br /> <br />~~~ <br />I FEE CtJRRENT <br /> <br />~~ <br />I Y /N I <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANtCAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br />111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br />COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans, <br />"-'PROPERTY SURVEY required for all NEW construction. <br />111II1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111 <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />
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