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10-10500
Zephyrhills
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2010
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10-10500
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Last modified
3/22/2011 2:38:55 PM
Creation date
3/22/2011 2:36:18 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10500
Building Department - Name
MCCALL,BERNARD & SUZANNE
Address
5103 9TH ST
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O <br /> , 813- 780 -0020 City of Zephyrhills Permit Application Fa -813-780-0021 <br /> Building Department <br /> Date Received -/5?-/C2 �j Phone Contact for Permitting p i3 744 -- 1/.23 <br /> EEtEEEtttottEttEEEEEtEEitutt[t r^ ^3'333333333: :a3:::nWt.r: :53:3:3:.. ^.m:::::3i3:3: :3:::3:.:. :r.::::::.:a:d r.... : m ::r.:a;:Y::a:..: ::: :.:: 33'3n rr <br /> Owner's Name gE K 14p / P C. � � ! � / e r' Owner Phone Number 1 13 - 7.23 -g 9 <br /> Owner's Address 510 3 q I 1 • Zi' // 1�N "L1✓ P Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� // <br /> JOB ADDRESS ,c(03 ' ' ) 2df�yeNi i I`'4* 33.5 3 f <br /> SUBDIVISION jG i H I 1 l L1 f PARCEL ID# 1/' c t ' c . / ' oO to - .A C' G O0 ' 0 0 3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR I I COMM n OTHER I 1 <br /> TYPE OF CONSTRUCTION I I BLOCK ® FRAME I STEEL I OTHER I <br /> DESCRIPTION OF WORK r,v5f ^LL 6' S/h <br /> BUILDING SIZE 1 3 X Q SQ FOOTAGE �O HEIGHT / <br /> Et Ettt"""•"'* tplttg EEEEEEtt tFt#t€ tttitf €€k EEttattEEtEn #ELEEtttEEEEE"" ""•'•"""" Elf €t€tt€ft t tEt {EEEtttE€E€EE€fEEfttlftwEotfttE€EtEtkl ftftt m€EttEEEEFmittifteattttt• .: r Ettftttt Etttit ttEtt ttfttttEtikEttt tEtfttE tEEE�FEEE €t Et ttEgft <br /> BUILDING $ <br /> oq VALUATION OF TOTAL CONSTRUCTION <br /> /so ®, <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY ri W.R.E.C. <br /> 1 I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS I I ROOFING I I SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I]YES I]NO <br /> EtE t tEkEEE EtlEEt#fEEf EtftEEfEtEtt}EkEtEEEf444444EEIEtEEE E(E :3 :a a: EEfEfE(EEEEEtEIE6kEEEEEE::::: 3e::::::: EEE 411414 EE kepiE tft4EEEE €EEl1EEEE6EFY##Y#EEkEtiEEE(6 1flElftEEEEkEEEEEE IEV44 : EEEEEEEEEEE(EE�E fkEEEEE EEkfE EEEiEEEEF�EIEEEEEERR <br /> BUILDER A is IL [� , o ©` COMPANY J �� f C RE ( )1`� f/ lt( <br /> SIGNATURE / . � REGISTERED �am FEE CURRENT <br /> t1t <br /> ' > ,9 r/ <br /> 4 <br /> Address 9 V I .� . • <br /> LiA �! (- r - 0 License # C /( {s d9d J <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address f License # <br /> PLUMBER ` COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> EEEfFEE[ EEEEFEEEEEEEFEEEEEEEEEEFEEEEEEEEEEE €FEEtEFEEIfEFEEEtEE iEEEEEEKEEEKEEEEEfEEEEEEEEEEEIR E EffEfimituo€€EFEE mutaliffr wigu E EEE €IEEE EFEfEE FEEEFEEEEEEgagaggifE4FFEEF kfERE F€E€EEiFf EFf EEEEEEEEEEEEEFEEEEEEEEEEEEEFEEEE tEtEEEEEEEE <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 /> •••••••••' „-, grT ' tiigE'F'ggat [' 'F 'FF ^ NEE['['['G:GI 'CF.[ • • [ [GG . G• [• E ft GGG '[G[GG'GGTG'F:'L'C' 11 [ ^ ' • I gwg • '' ' ' <br /> aaE^ aaa acaacccE a <br /> EcaacEcfcEcEcEEcEcEmcFcEaE €FEECa fr' �FECEcEcaa[ ' Ea{ aEEccaacaca€ ac€ tEcaEccEcEcFcccEcEcEcEit€ �FEFFa°€ rFEFEE€ �EE €aaE €E €EcE €aEFFf €EEttEE € €F€ ESE€€€ a�€ E[c EEeaEEtt€ NacEtacEaaaaacE (i € € € € €t €a € €t € € €a €E <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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