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08-7283
Zephyrhills
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Building Department
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2008
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08-7283
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Last modified
3/6/2009 4:48:13 PM
Creation date
10/16/2008 9:20:35 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
07-7283
Building Department - Name
HESS
Address
6026 GALL BV
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<br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />IJ::- <br />l-:Af3 <br /> <br /> <br />Date Received .. <br /> <br />Owner's Name <br /> <br />~AtL <br /> <br /> <br />I <br />t~ DO(<[) <br /> <br />LOT # <br /> <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br /> <br />U 21 COCo <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK '0~~ ~~tA;";. <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT <br /> <br />11.111.'..,.....111..'.11..11..11....1111...'1111...11....11.111.....11...'.11....111......,..."'..'....11.11.11........,II..................jllll <br /> <br />D BUILDING 1$ ~.~ <br /> <br />D ELECTRICAL 13eeYD <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />~ECTRICIAN ~ <br />~IGNATURE <br /> <br />Address <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /><'tt b - (f;t~./Si~ <br />~-~ <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />AMP SERVICE <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />I tta- 60t)(Wttu_flA'L.~\~uJ I ~ <br />I YI N I FEE CURRENT I Y/N I <br /> <br />K J usr;,. License # I <br /> <br />Dg\~~~---b ECc:t!;/!,Q :J~ <br />~-I- FEE CURRENT I Y I N I <br /> <br />License # I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <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 /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />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 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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