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15-15995
Zephyrhills
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2015
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15-15995
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Last modified
11/17/2015 8:55:42 AM
Creation date
11/17/2015 8:55:42 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
15-15995
Building Department - Name
WORNER,MICHAEL & LEE
Address
4748 18TH ST
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813-780-0020 City of Ze hyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � <br /> ..i. <br /> Date Received ' ,� � IS Phone Co tact for Permitting — <br /> i n, ,p <br /> Owner's Name (j Ci Owner Phone Number � �� � � � <br /> Own�er's Address y� 7� Owner Phone Number <br /> � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � ��a ' LOT# � <br /> SUBDIVISION PqRCEL ID# <br /> WORK PROPOSED NEW CONSTR A ID/ALT � SIGNINED FR�OM PROPERTYT�ncel DEMOLISH <br /> eINSTALL B R �PAIR <br /> PROPOSED USE Q SFR ,. � C MM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q <br /> DESCRIPTION OF WORK � �' L D � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ � /�Q� VALUA ION OF TOTAL CONSTRUCTION <br /> l/ <br /> QELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION � l �� <br /> OGAS � ROOFING Q SP CIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO <br /> BUILDER COMPANY i D� v <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# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER OMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et 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 Pertnit f r subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lif Safety Page;(1)set of Energy Forms.R-O-W Permitfor new construction. <br /> Minimum ten(10)working days•after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit r all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plan's. ' <br /> "'•PROPERTY SURVEY required for all NEW cons ruction. _ <br /> Directions: <br /> Fill out application completely. <br /> Owner 8�Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC u rades over$7500) <br /> " Agent(for the contractor)or Power_of Attomey(for the owner)_woul be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING, � '(Front of Application Only) <br /> Reroofs if shingles Sewers Service Upg'rades A/C Fenc s(Plot/Survey/Footage) - - • • . - ,. _ � , <br /> Driveways-Not over Counter if on public,roadways..needs'f�OW • ' �- � . ' <br />
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