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09-9473
Zephyrhills
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2009
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09-9473
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Last modified
1/24/2011 3:05:54 PM
Creation date
1/24/2011 3:05:53 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9473
Building Department - Name
PALMER,LORRAINE
Address
38610/38612 9TH AVE
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813- 780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Received ' e Contact for Permitting -- <br /> ir". <br /> Owner's Name —= Owner Phone Number <br /> AO <br /> Owner's Address d CP.t.--- Owner Phone Number <br /> Fee Simple Titleholder Name J p ('2 i o ( 0 L owner Phone Number <br /> Fee Simple Titleholder Addres ,t _ Mg "" i <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE S Q FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $ /� VALUATION OF MECHANICAL INSTALLATION 9 <br /> ______ <br /> / <br /> I I GAS 1 I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> ' <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ I lip I Y/ N I <br /> !� <br /> Address / % I <br /> c OTHER r� , ` <br /> SIGNATURE �•/ /� �� / / +�_ REGISTERED Y / N FEE CURRENT Y / N <br /> Address ���J'L "����� <br /> rr License # <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />
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