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09-9600
Zephyrhills
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Building Department
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2009
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09-9600
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Last modified
1/7/2011 3:11:42 PM
Creation date
1/7/2011 3:11:38 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9600
Building Department - Name
LEIGHLY, ROY THOMAS & JO ANN
Address
5150 4TH ST
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813 - 780 -0020 City of Zephyrhills Permit Application 1 ,fin Fax- 813 - 780 -0021 <br /> Building Department 6fj� <br /> Date Received 9 _ 0 Phone Contact for Permitting I � "`���"�" -- <br /> +-� _C s <br /> Owner's Name 7 \ \.,, �. I G 1 i 11 - � Owner Phone Number ‘71-1‘5",g, - Z j <br /> Owner's Address J 3 3 ) N j i` U I 0 '� j Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �( S o 7 10- • '/ /v Rit -() t- L LOT # <br /> SUBDIVISION PARCEL ID# � � 2 b - 2 1 ` U 01 D - -- 0 ) (, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR I I COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME 11 STEEL I 1 OTHER I <br /> DESCRIPTION OF WORK X / W �� - 1/V . f API- 4 S Xg C <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ ; L1 0 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ 1 So <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 11 GAS 11 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER COMPANY ' 1 ►` 1 L N ` Y <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y / N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 0 0 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I r Y / N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT 1 Y/ N I <br /> Address License # F <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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />
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