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03-2198
Zephyrhills
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2003
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03-2198
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Last modified
3/6/2009 3:07:57 PM
Creation date
12/21/2006 10:13:19 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
03-2198
Building Department - Name
VICKERS,JAYNELL
Address
39147 PARK DR
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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />-p -1 l,r ~ (' / j/? c J~'/..s <br />'3//;;7 ftr'J< OrlJ.re <br />LEGAL DESCRIPTION: LOT (tfA '~ ' BLOCK <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # <br /> <br /> <br />DD a <br /> <br />715"- P f7A, <br />Z- ~~ ~ '-\ R ~ "\..-\.....S. ~ L- .~ ~"S. C\. ~ <br />, ), <br />\0 SUBDIVISION 2.'"'C:.~~'\.~ ~~\~~\.s <br />\:J D 10 t()-- 00 (:) <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />OSIGN <br /> <br />N ~~~:!};-:';:A:f="" 0 AL TERA TI ON <br />o MOVE 0 DEMOLISH <br /> <br />o REPAIR <br /> <br />IB"iNSTALL <br /> <br />WORK PROPSED: <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~HER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~ / <br />\ , [pO <br />DESCRIPTION OF WORK ~u, 0~ S ~~~ S'd:.\\."()N O~ C-~~,~'W..~~ ~~c..C;C ~ ~Cl..:J\\\ S. \~ <br />C>~ '0~'~l".i::."-=>. . <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />ENE~9-Y"FOR\ <br /> <br />~____ I <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />J-l~~ <br /> <br />i <br />/ <br />I <br /> <br />PERMITS REQUESTED <br /> <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o IvjECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />or' OT HER chfll'H /..,/ tV It. r-ec,< c e ", 5'tJ 4!>~ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />0"'NO <br /> <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE ~ <br />/ <br /> <br />COMPANY <br />;;' I-~ 6'~ ~RT OR REGIST # <br />e) ~~ CESSING # <br /> <br />**************~**************************~********************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />
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