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11-12563
Zephyrhills
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Building Department
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2011
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11-12563
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Last modified
6/19/2012 2:34:27 PM
Creation date
6/19/2012 2:34:26 PM
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Building Department
Company Name
PINE CREST M.H.P.
Building Department - Doc Type
Permit
Permit #
11-12563
Building Department - Name
STOKES,THOMAS JAMES & EDNA
Address
6021 MINERVA ST
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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 — <br /> Ownec'� Name J�� `\ l'. S � UY�� Gtvv� �- Owner Phone Number 7� �' �� U � <br /> Owner: s Address �� � 7 L �� lJ G( Owner Phone Number �� <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> r � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �v O LOT # � <br /> SUBDIVISION � , PARCEL ID# ��' �/ v O ���� " � � <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � / - � f��l� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �� <br /> �� UILDING/ $ - �, t� 1.,, <br /> VALUATION OF TOTAL COLUSTRUCTION <br /> �ELECTRICAL $ AMP SE CE PROGRE�'S ENERGY W.R.E.C. <br /> � 3 �� <br /> OPLUMBWG $ ��, ff/ � �(1� <br /> ,� � •'=�� j <br /> QMECHANICAL $ ALUA CHANICAL I TALLATION � �`� ��rr �� <br /> � � °� �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER `� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO �� � <br /> � <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 t� �— <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 <br /> 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 Bullding 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 8 1 dumpster; Site Work Permit for subdivisions/targe 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 construcUon. <br /> a 1��11I�rm i7II Ii II�II7�rII r1 1 <br /> 1 a I 111 li l 1 1 J.LJ.Ll 1 1 <br /> D�rections. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, 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 PERMITTING (Front of Appiication 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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