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91-1648
Zephyrhills
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1991
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91-1648
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Last modified
3/4/2009 9:43:20 AM
Creation date
4/6/2006 9:47:27 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Building Department - Date
7/15/1991 12:00:00 AM
Permit #
91-1648
Building Department - Name
CITY OF Z-HILLS
Address
39110 6TH AV
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<br />,. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />~.ov P8' /l :z-~~ <br />/7 5_Al~ )cJ~ O,cPHoNE9'tJ9"'-J?7-711?'L <br />~ a'7 p'F ..1$"r~4(1.$ <br />'7~AIP j)c-~CJ'"'I LOT SIZE_^---- I\REA SQ.FT. <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.tF <br />WORK PROPOSED:_New Construction --XAddition _Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />~love <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_tF of Uni ts <br /> <br />._~l/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Pee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COWIERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY POmIS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RMITS REQUESTED <br /> <br />_BUILDING <br />~ELECTRICAL <br />~MECHANICAL <br />fh PLUMBIN'G <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />SPECIALTY <br /> <br />GAS <br /> <br />ROOFING <br />-fc-Frame _Steel <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECT~ ~:v ~ Z <br />Company V ~ ~ <br />State Cert. or Regist. 1F c:"fiZ- O/O~:d...J <br />City License Registration iF l?' <br />********~********************************* <br /> <br />Si!mature <br /> <br />Company _ <br />State Cert. or Regis t. 1F $Z) <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Company ~ <br />State Cert. or Regis t. (! c:2 <br />City License Registration fl <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. 0 <br />,City License Registration {~ <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br /> <br />Signature <br /> <br />" <br />1r <br /> <br />APPLICATION APPROVED BY <br /> <br />PERl-lIT OFFICER. <br /> <br />.........,':. <br />
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