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14-15104
Zephyrhills
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Building Department
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Permits
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2014
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14-15104
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Last modified
3/16/2015 11:45:15 AM
Creation date
3/16/2015 11:45:14 AM
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Building Department
Company Name
GRAND HORIZONS
Building Department - Doc Type
Permit
Permit #
14-15104
Building Department - Name
ELLSWOWRTH,WM & JUDY
Address
37527 GILL AVE LOT 279
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ais-�so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 3��— l ! <br /> Phone ConWct for Permittin <br /> �rT rr r r� <br /> Owners Name /t- - � Owner Phone Number �� - � <br /> Owner's Address �� L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS , /�U � LOT# �� <br /> SUBDIVISION YUIQ " �' PARCEL ID# � • =a/-o <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER 1..2�i,...+ t_e.� <br /> TYPE OFCONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Q C e � " J�1 �P ,� 'f'-� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> T <br /> �BUILDING $ ,; VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C./ <br /> -j'` t/ <br /> �PLUMBING $ �"I� 2 �,Q r ,S <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � / ' y� � � �� <br /> � , �� � <br /> �GAS � ROOFING Q SPECIALN � OTHER �� � <br /> � �. (, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ��� ' �I"�/ <br /> (-`/ � I <br /> Li <br /> BUILDER q � COMPANY ,`�' (� �A E w �w uC)��S <br /> SIGNATURE t V REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa 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 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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 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$7500) <br /> "" qgent(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 P,pplication Only) <br /> Reroots 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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