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10-10081
Zephyrhills
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Building Department
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2010
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10-10081
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Last modified
1/27/2011 8:59:46 AM
Creation date
1/27/2011 8:59:44 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10081
Building Department - Name
ZEPHYRHILLS 18TH ST FAM TRUST
Address
4741 18TH ST
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813 - 780 -0020 City of Zephyrhills Permit Application % Fax -813- 780 -0021 <br /> Building Department 22 - r D <br /> �t <br /> Date Received Phone Contact for Permitting •! a D -- <br /> Owner's Name MO i e__A-1 4'' P CD Owner Phone Number 1 9 /5 --7 1 4) lC / <br /> Owner's Address , 1 17 Z ( ) 5 7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address c� 'G / <br /> JOB ADDRESS 7 ! `' / 57 LOT # <br /> SUBDIVISION PARCEL ID# (4— °Y " me , /0-- C- / 4° <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED LJ NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 /( FRAME n STEEL OTHER <br /> DESCRIPTION OF WORK g -6 /2 A e-- S �` ` V -� /d X <br /> BUILDING SIZE SQ FOOTAGE / eD HEIGHT / / <br /> BUILDING $ A29 /0, ®o VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. <br /> I 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 11 ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> r V yc (ei47 " f� ,- d _J /l e 5' 3 / t� - `� S <br /> BUILDER ( / L � � �� t COMPANY ItP'S A¢��r. - 4 11; 4 (JS7X <br /> SIGNATURE `-`- REGISTERED 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 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N I <br /> Address 1 License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 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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