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11-12397
Zephyrhills
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Building Department
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Permits
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2011
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11-12397
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Last modified
6/11/2012 1:12:35 PM
Creation date
6/11/2012 1:10:33 PM
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Building Department
Company Name
LUPTON
Building Department - Doc Type
Permit
Permit #
11-12397
Building Department - Name
LUPTON
Address
5130 GALL BLVD
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received .- � Phone Contact for Permittin g� a� _ <br /> Own s N me �p� �/ n Owner Phone Number p� `' �C� "�r�j <br /> c.�' <br /> Owner's Address Owner rhone Number �/L► <br /> Fee Simple Tltleholder Name —� Owner Phone Number �� � �/L..-�� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �D � �, � � , ` � � LOT # �� <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK I YIt7 L!� � LJ c.�� �P Q <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> OBUILDING $���� VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> DELECTRICAL $ ��.^� � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> CJ� <br /> OPLUMBING $ �� � � ��• � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> QGAS Q 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 /> Add�ess License # �— � <br /> ELECTRICIAN �l.'e � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> S G AT RE �� ��' u� R OMP ERED Y/ N 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 /> Mlnimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisionsflarge 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 dumpste�. 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 construcUon. •_ ' . , <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 of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (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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