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03-1891
Zephyrhills
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2003
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03-1891
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Last modified
3/6/2009 3:09:22 PM
Creation date
12/5/2006 2:56:29 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
03-1891
Building Department - Name
KIRKLAND,LORETTA
Address
38434-38430 12TH AV
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<br />~l~X l)F ZEPHYRHILLS PERMIT APPLICATION <br />BUII,nlNG DBIi'ARTMBlN'f 5335 8th S'fREBl'f ZBlIi'HYRHILI.S, FL 33540 <br />Ii'honeI813-780-Q020 FaxI813-780-0021 <br />DA'.l'B RBOlllIVIlID <br />, PJ~ANS RJDVIBW 1'-__ "---r~.-~"'.4-'~__'____ <br /> <br />O\iU~R'. UAMa 1..0 rteilli /(," r f. / /UJ J PHONO CON'I'A"'L)i';::~~' <br /> <br />,T08 ."J'O ADIJRa..=~ii~iil-~jKi>>~~~jitf4:e~~~ddL_~_~~~~~__ <br /> <br />!..ElC3AL DESCRIPTIONI LOT(B) BU)CK SUBllIVISIClH __________._______ <br /> <br />--. <br /> <br />Pl\RC!IllL ID # <br /> <br />---.-.-.--.......-.------..,..---------.-......---...-.....---- <br /> <br />(OBTAIN F'ROM I?ROPIilR']''l TAl< NO'J'lmil) <br /> <br />~WRK I?ROI?BllllJ I [J NIllW CONS'I'RlJCT ION <br /> <br />[J S WN <br /> <br />o ADDI'rroN OAL'I'ERATION o RElPAIR LJ INSTAI.I, <br />o MOVE 0 DEMar/ISH <br />CJMtJIn'I' FAlViIl,y 0# OF UNI'l'S [] MOB II.1ll II OM III <br />o INDllE!'1'RIAL OSWIMMING I?OOL (] DrfHER <br /> <br />I?RtWOSEIl lJSE I []SG!, FAMII,Y DWELLING <br /> <br />[J COt1MIlIRC! TAT, <br /> <br />jlJj)8CRII?'l'ION OF WORK <br /> <br />CJ RESTAURANT & HEAl/l'H DElPARTt1ENT AI?PROVAL <br />)~ w-l1-?/ I'/f ~r/ h ~.______.___.________~~______ <br /> <br />Bun,IHN(] SUB: <br /> <br />SQUARE FOOTAf#E <br /> <br />HEillGH'f <br /> <br />REBIDBlNTIAI., <br />(JOII1MIllR(!IAIJ I <br /> <br />A'I"rACH (:2) !?l,OT PLAllS f.< en SETS OF BtJII,DING PI,ANS 6< (1) BE'l' IllNlilRClV FORMS, <br />A'I"l'AC!H (3) SETS OF BUILDING I?LANS & (1) SErl' ENEiJRGY FORMS, <br />PROPERTY SURVEY REQUIRBlD FOR ALL NEW CONSTRUCTION. <br /> <br />F~~ITS REQUESTED <br /> <br />Cl BllTLIHWa <br />L1 IllLEilC'I'RWAI, <br />~ PLlJt1BING <br />o 11EUHAl:HUAT, <br /> <br />$ <br /> <br />VALUATION OF 'rOTAL CONS'rRlJCrl'ION <br /> <br />------- <br /> <br />AMI? ~E1RVIC!Bl <br /> <br />o FI,oRIDA POWER <br /> <br />o <br /> <br />W.R,IlI.CJ, <br /> <br />$---_.' <br /> <br />VALUATION OF MECHANCIAI, INSTAI,llA'l'ION <br /> <br />[] GAS <br /> <br />fJ ROOFWG <br /> <br />[J Sl?fJlCJIJWry <br /> <br />[) OTHEiJR <br /> <br />'l'~PE OF CONSTRUUTION I [J BIl)(!K <br /> <br />o FRAt1E1 <br /> <br />(J S'l'ElEJT, <br /> <br />[] OTHER <br /> <br />FIlUSHEIJ FI,QOR BlI,BlVATIONS <br /> <br />r 8 PROLJElC'I' IN FLOOD ZONEl ARElA 0 'tillS <br /> <br />o l~O <br /> <br /> <br />BUILDBlR <br /> <br />------ <br /> <br />(XWIPAN Y _________ ____.. __..._______.__.______ __ <br />STA'I'E CElR'l' OR RElGH1'I' # _________.___________.___ <br />CITY PROUB:SSINC3 # <br />--~..- --.-...-......--.-----.--____.____.w..,.___....._____ <br /> <br />SIGNATURE <br /> <br />*********.*.*.**.~*..******.*******.**************.***********..** <br /> <br />1lI1.B1CTftIOrAN <br /> <br />COlvJPANY __________.________.._._,--____ ______ <br />STATE CElRT OR REGIS'!' # <br />SmHA'I'IJRE ---....------------___________________ CITY PROCESSING # <br /> <br />--~-,--,._-......- ~ ---.------ '~_._--_.-_..._- <br /> <br />a* * * *~Id */(* * * * *~""....". ... ........ ;,:::::,:'~': j;:/~;; '')};~JJ':J2__ <br /> <br />STATEJ CElR'l' OR. REl;;;T# 1~-::~6.6 '6J.. 1___ <br />SWHA'l'tJRliI __ _~__ ___:.._ __'___ CI'l'Y PROCBlSSING # -/a.----~~_ <br /> <br />**** ******* ** **********************************.*****..*.....** <br /> <br />--._--_.._--._.._.-.-~-_.._-,------ <br /> <br />Pl.tJMBBlR <br /> <br />MBlCHANICAI, <br /> <br />----------------.-......------- <br /> <br />COlvlPANY_____ <br />STATE CERT OR REGIST # <br />(!ITY PROCESSING # <br /> <br />.,._----.--_----_._~_._-.. <br /> <br />S TGl'lATURE <br /> <br />.---------....--.---.---.- <br /> <br />*i********.*******.*******************~******************'t****** <br /> <br />-------..--.----..-....-----. <br /> <br />OTHBlR <br /> <br />CO/'IPANY <br />S'1'A'l'Bl CElRT OR RElGIST # <br />CITY PROCESSING # <br /> <br />-----'~'-_.._._--.~--._-~..---.- <br /> <br />------------- <br /> <br />S WNA'1'UREl <br /> <br />---_.~-,--.._------------"- <br /> <br />*******************.*************************************'******* <br /> <br />_.._~_._.._-------~..~--~-- <br />
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