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10-10979
Zephyrhills
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10-10979
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Last modified
8/15/2011 2:08:45 PM
Creation date
8/15/2011 2:08:44 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10979
Building Department - Name
SIMARD,PAUL
Address
5023 6TH ST
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813 -780 -0020 City of Zephyrhiiis Permit: Appiication -aX- 7 P,, <br /> Builclin :i Department <br /> Date Received Phone Contact for Permitting ) -- <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number 1 <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR n COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK in FRAME I I STEEL I 1 1 I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> IELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> (PLUMBING $ <br /> 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> IGAS I I ROOFING ri SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRE6 I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI\ I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt' I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREIN I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREI' I Y/ N I <br /> Address License # <br /> IIIIIIIIIililll <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, Stornwater 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 $7500) <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 if shingles 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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