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10-10395
Zephyrhills
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2010
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10-10395
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Last modified
1/31/2011 8:23:27 AM
Creation date
1/31/2011 8:23:26 AM
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Building Department
Company Name
SILVER OAKS
Building Department - Doc Type
Permit
Permit #
10-10395
Building Department - Name
RUBIN,HARVEY & JUDITH
Address
6642 NORTH LAKE DR
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813- 780 -0020 C ;ity of Zephyrhills Permit Application Fax- 813 -780 -0021 4(0013 Building Department <br /> Date Recelved Phone Contact for Permlttln • s 1 3 7 – d� <br /> Owner's Name I +Art/ • • s Owner Phone Number _ <br /> Owner's Address - . ►t s C, Z 1,l 15 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS &GO Neat. I.aka'c• Z- O-As P1 33 4 a. LOT *I <br /> SUBDIVISION G1 l,eC OAK S PARCEL ION o 'd(,".lt - fo ►So - G Dopo caoo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN = MOVE n DEMOLISH <br /> INSTALL I REPAIR <br /> PROPOSED USE n SFR I COMM = OTHER <br /> TYPE OF CONSTRUCTION [ 1 BLOCK I FRAME n STEEL n OTHER <br /> DESCRIPTION OF WORK t 'emWL`��t. laar- <br /> BUILDING SIZE SO FOOTAGE 5 HEIGHT <br /> BUILDING $ 3SI:4) • Di) VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY I W.R E C <br /> I I PLUMBING $ <br /> F MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> In GAS n ROOFING I SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER nn COMPANY <br /> �'q.04/5 a,� <br /> SIGNATURE REGISTERED ' `.w.+ V u � B I Y/ N I FEE CURRE T ,�,s�, I � V / N I <br /> Address YI2 / / /opus B!2/j I 7/ / 1 License # I(,(J 77 <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I YIN I <br /> Address 1 License it I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I V/ N I <br /> Address License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O -W Permit for new cons8uction, <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 Lite 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 wl Silt Fence installed, <br /> Sanitary Fatalities & 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 F. Contractor sign back of application, notarized <br /> If over 82500, a Notice of Commencement Is required. (A/C upgrades over 85000) <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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