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08-8240
Zephyrhills
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2008
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08-8240
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Last modified
3/6/2009 4:44:10 PM
Creation date
9/23/2008 11:21:14 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-8240
Building Department - Name
TIBBETTS PROPERTIES LLC
Address
39336 CHANCEY RD
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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application ) <br />Building Department -+t61..-C{ (j <br /> <br />Fax-813-780-0021 <br /> <br /> <br />LOT# I <br /> <br />PARCEL ID#I ~q-- Z/IJ - zJ - tJlJOO - 0() I/)() - tobo <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR 0 ADD/AlT D SIGN 0 MOVE D <br />INSTAll D REPAIR <br />D SFR D COMM D OTHER I <br />o BLOCK fjj &RAME ! STEEL 0 JPTH'if'? <br />I 60 tift tAl :-I itJ~ "'o"t/B,! if ,-,l/;' , ~Uj//Y <br /> <br /> <br />I sa FOOTAGE I I HEIGHT <br /> <br />tW -~ <br /> <br />Date ~eceived <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />E=f <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />D BUilDING 1$ <br /> <br />D ELECTRICAL 1$ <br /> <br />CJ PLUMBING 1$ <br />CJ MECHANICAL 1$ <br /> <br />CJ GAS c=J <br />FINISHED FLOOR ELEVATIONS I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />DEMOLISH <br /> <br /> <br />~EC <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ 'i) D PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATiON <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY c=J <br />FLOOD ZONE AREA <br /> <br />11...,""'1111'11111'111'..".'1'.."11..11'11.."'....p."II.....".III'..IIIII.IIII',II'...'.III.'I"'..'.11,.."11'.1'...."11"1111,1111111" <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />license # <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />license # <br /> <br />1111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllllllllll11III111111111111111111111111111111111 <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 on site, 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 wI 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 ietter 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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