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11-12477
Zephyrhills
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Building Department
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Permits
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2011
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11-12477
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Last modified
6/12/2012 2:02:36 PM
Creation date
6/12/2012 2:02:34 PM
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Building Department
Company Name
ZEPHYRHILLS COLONY
Building Department - Doc Type
Permit
Permit #
11-12477
Building Department - Name
GROH,MARIA GABRIELA
Address
5248 SCOTIA ST
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date�teceived f � � Z - J� <br /> Phone Contact for Permittln _ <br /> Owner's Name �7 /`Of� �K ia- C• Owner Phone Number 7/,j - D y' / <br /> Owner's Address /� .(3� / 93 � Z r�� ��s F� -,3 3� 39 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> s�N�y ��sf m N i' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,S� ��Y SCD �i � S� '� i�� ��f F/ - 33� yy LOT # �� <br /> SUBDIVISION PARCEL ID# /D ot(v �/ p0/D 093� BDDO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK R /�c� SerV «v �D�e <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ G � B � AMP SERVICE Q ROGRESS ENERGY W.R.E.C. <br /> �PLUMBWG $ �— <br /> '�j <br /> MECHANICAL ��� l� <br /> � $ VALUATION OF MECHANICAL INSTALLATION D) � <br /> GAS ' � <br /> � 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 /> Address ' License # <br /> ELECTRICIAN < COMPANY rfl�rie ���c�ric <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # tG - d00 / z G� <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 CURREA Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; 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 8 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 FaciliBes & 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 requlred 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 ls required. (A/C upgrades over �7500) <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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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