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11-11762
Zephyrhills
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2011
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11-11762
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Last modified
2/8/2012 1:55:22 PM
Creation date
2/8/2012 1:55:20 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11762
Building Department - Name
SHIVA 6005 GALL LLC
Address
6005 GALL BLVD
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�,�-�uu-u�,zu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received <br /> �� �� r � Phone Contact for Permitting _ <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS LOT # �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN �] � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE C] HEIGHT <br /> QBUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $ f �, AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> L� <br /> OPLUMBING $ � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � J <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �"� , <br /> � � � <br /> FINISHED FLOOR ELEVATI�NS FLOOD ZONE AREA QYES NO " <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # -� <br /> ECTRICIAN fL COMPANY �� r NC� �1�� f'e�C �?� ,� <br /> SIGNATUR REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � -� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 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/ Sfit 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 Fonns. 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 appiication, notarized <br /> If aver E2500, a Notice of Commencement (s required. (A/C upgrades over a7500) <br /> ** Agent (for the contractor) or Power of Attomey (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 (PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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