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13-14687
Zephyrhills
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2013
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13-14687
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Last modified
7/28/2014 8:02:40 AM
Creation date
7/28/2014 8:02:40 AM
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Building Department
Company Name
CITY OF ZEPHYRHILLS WASTE WATER
Building Department - Doc Type
Permit
Permit #
13-14687
Building Department - Name
CITY OF ZEPHYRHILLS WASTE WATER
Address
4719 LARCH DR
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- '" "` �°`" ..��y vi �Cpnyrnms rermit Hppncation Fax-813-780-0021 <br /> Buiiding Department <br /> Date Receiveo� <br /> Phone Contact for Permittin <br /> owners Name G�`� v � -� /�.LG s <br /> Owner Phone Number <br /> Owner's Address / p- /ZG_�{ ��2 S /�p�ef phone Number <br /> / <br /> Fee Simple Titlehotder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � <br /> LOT# <br /> SUBDIMISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lIVORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM U OTHER <br /> TVPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> pESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE <br /> Q PROGRESS ENERGY [� W.R.E.C. <br /> [�PLUMBING $ <br /> OMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� <br /> Y!N <br /> Address Ltcense# -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- -� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets oi Bufiding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8�1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)Nrorking 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 PERIIAIT Attach(2)sets of Engineered Plans. <br /> "'""PROPERTY SURVEY required for all NEW consVuction. <br /> „��e����i��„�.��.�,,,.... <br /> Directions. " � <br /> Fill out application complete�y. <br /> Owner&Contractor sign back of applicaHon,notarized <br /> If over s2500,a Notice of Commencement ia required. (A/C upgrades over 57500) <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 shfngies 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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