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03-2165
Zephyrhills
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Building Department
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2003
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03-2165
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Last modified
3/6/2009 3:08:06 PM
Creation date
12/20/2006 2:55:52 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
03-2165
Building Department - Name
MCKISSIS,ALLEN
Address
39602 AMETHYST WY
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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />aUILDING DEPAR1~NT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FJ.\X:813-780-0021 <br /> <br />DATE RECEIVED----- <br />PLANS REVIEW FEE <br /> <br />OWNER'S "^"!jJt/l ~ ~ <br />,JOB ADDRESS __ ___~ 2.. _~ -;/z. ---=-- <br /> <br />PHONb/l ;5,) 1:r:' 5~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # 2.!L ,- 2-i ~ 1,- CJ l!J?c7 -~tf 2- .6'.)~O~8.IN FROM PROPEB.1~OTICE) <br /> <br />WORK PROF.'SED: 0 NEW CONSTRUCT ION <br /> <br />OsrGt,j <br /> <br />o ADDITION OALTERATION o REPAIR o INSTl\LL <br />o t10VE 0 DEHOLISII <br />OHULTI-F'AmLY 0# OF UNITS o HOBILE Hm1E <br />o INDUSTRIAL o SWIHtlING POOL o OTHER <br /> <br />PROPOSED USE: OSGL FI\MILY Dv.1ELLING <br />OCOMMERCII\L <br /> <br />D RESTAURANT I:" IIE~II?>H DEPARTt1EtlT ~R~YfL J ~ <br />DE"CelP'rION OF WOeK ~~ V~ ~ ~ ~~ <br />BUILDING SIZE II/ ,XI Z SQUARE FOOTAGiZ.- 2-0 HEIGH~ (} " <br /> <br />RF.S I DENTIAL: <br />COMMERCIAL: <br /> <br />I\TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTl\CH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />0 BUILDING <br />0 EIJEC'l'RICl\L <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />.$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />At.'lP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VI\LUATION OF MECHANCII\L INSTI\LLATION <br /> <br />o GI\S <br /> <br />o ROOF'HIG <br /> <br />o SPECII\LTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRA1.1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />1r) r 08/'3 <br /> <br />rINISHF:fJ FWOR ELEVATIOtlS <br /> <br />IS PROJE:CT IN FLOOD ZONE: I\RE:A 0 YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNI\TURE <br /> <br />******~*************k**~******~+~++***~*************************** <br /> <br />ELECTRICIAN <br /> <br />COtvlPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SJGNI\'J:URE <br /> <br />***k**************~*********~********+*************************k** <br /> <br />PLUMBER if9~ <br />SIGNI\Tr~b <br />.... <br /> <br />CotJ!PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />*****'k**+***************~******~+*******************************~* <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROC~SSING # <br /> <br />SIGNI\TURE <br /> <br />*****~*********************************************************** <br /> <br />OTHER <br /> <br />cm/1FANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE: <br /> <br />*************************************k********~*******~***'******* <br />
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