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08-8110
Zephyrhills
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2008
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08-8110
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Last modified
3/6/2009 4:44:29 PM
Creation date
9/19/2008 12:22:18 PM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-8110
Building Department - Name
CLEMENTS,RICHARD
Address
6643 BANYON CT
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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 />Date Received <br /> <br />Owner Phone Number It".3 7 i i - t.('f 2- <br />Owner Phone Number I <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />'" r"~ (\ f\ 3'3' 2- LOT # I <br /> <br />PARCEL ID#I D;J -2 ~ -;) 1- 0210- CJOOoD -II ~ 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />E3 <br />o <br />D <br />ItV~; <br /> <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER I <br /> <br />STEEL D <br /> <br />fl/'? ? / <br />fiL c :A~,:') ~ a ~ r eg4- <br /> <br />BUILDING SIZE SQ FOOTAGE I HEIGHT 1_ <br />Tf" 1111" 1111" 111111111" 1'11"111'" 1I111111111111111111 '1111 1'1111111111111111111111111 111111 ""'1111" 11'1'" 111111'" 1111' '11111"111111111 <br /> <br />D BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERg.y.. <br /> <br />D PLUMBING 1$ <br /> <br />1$ 17g.2 <br /> <br />D GAS 0 ROOFING D SPECIALTY D OTHER <br />FINISHEDFLOORELEVATIONS I I FLOOD ZONE AREA DYES DNO tK..,-ff /fJ'tf / <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1111111111111111111111111111I111111111111I11111111111111111111111111111111111111111111111111 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />WR.E.C, <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />BUILDER <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 />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE , <br />Address 7 Y d s COr\.! <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />1M, l\ \ CL t'- A l f~ 'E~+ CO'f" P <br />I Y/ N I FEE CURRENT I Y/N I <br /> <br />License # I Q AC! 0 t.t 'Z.. 1 2- -, <br /> <br />~.st N~ <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Address License # <br />1111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />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 w/ 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 />SIGN PERMIT <br /> <br />DI~~~ti~~~': 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 I . I . . I I . . . . . . . I . I . . . . . . . . . . I . . . I I I . I I . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . I . . . I I I . I <br /> <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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