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11-12020
Zephyrhills
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2011
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11-12020
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Last modified
4/2/2012 1:15:00 PM
Creation date
4/2/2012 1:14:59 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-12020
Building Department - Name
ROQUE,SUZANNE D
Address
5607 18TH ST
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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> • Building Department <br /> Date Received �� '`��- �� pho Contact for Permittin — <br /> Owner's Name ��' `"' Owner Phone Number <br /> Owner's Address � O � Owner Phone Number <br /> Fee Simple Titlehoider Na 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 e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK .� �/ '� � <br /> BUILDING SIZE SQ FOOTA IGHT <br /> NG $ ��/ � VALUATION OF TOTAL CONSTRUCTION <br /> v v v <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY . .C. <br /> OPLUMBING $ <br /> l � � =� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / t <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 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 ' ense # <br /> OTHER NY <br /> SIGNATURE REGISTERED / FEE UR E� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach Plo lans; () 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 57500) <br /> ** Agent (for the contractor) or Power ot 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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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