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08-7884
Zephyrhills
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Building Department
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2008
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08-7884
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Last modified
3/6/2009 4:45:17 PM
Creation date
9/19/2008 11:12:48 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7884
Building Department - Name
BRUNNER,JUDITH
Address
6623 NORTH LADE DR
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<br />813-780-0020 <br /> <br />C)!~f Zephyrhills Permit Application <br />r-.. O::r Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Receiv~d <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />DESCRIPTION OF WORK <br /> <br />E3 <br />D <br />D <br />I <br /> <br />I <br />B <br />o <br />BLOCK 0 <br /> <br /> <br />A~::tEI <br /> <br />PARCEL 10#1 <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />ADD/ALT D <br />REPAIR <br />COMM D <br />FRAME D <br /> <br />OTHER I <br />STEEL D <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />.., . . I I . . . I I I I . I . I I I . . . I I . . . I , . . I I . . . I I . . I . . I I I . , . . I . . . . I . . . . . . . . . I I I I . , I I I . . . . . I I . . . I , I . . I I I . . . . 1.1 I" I . . . I I I I I I I I . . . . . I I I I . . I . . . . . . . . . . . . . . I . I . . . . <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />D BUILDING 1$ ~3 ?(/ I <br />D ELECTRICAL 1$ I <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br />D GAS D ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o W.R.E.C",\ <br />.~ / <br />.. ~ ,...; / <br />(tlfij//' <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />,,""1111"111"""""111'111111111""""'1111'1111"11..,......"",....'11".'111".'1111"......,.,.""""11111"111"""11"11'11"'" <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />License # <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <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 subdivisions/large 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 />I11I11111I111111I111111I11111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111I11I111111111111111I <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />
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