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04-2656
Zephyrhills
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04-2656
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Last modified
3/6/2009 3:26:22 PM
Creation date
1/16/2007 9:59:16 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
04-2656
Building Department - Name
SIMMONS,RALPH
Address
38648 LANSING AV
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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMI TTING 81 :3 ~ 779- /7 d,/ <br /> <br />PHONE <:6/ ~ - 77 C; /7 b I <br />2cfll'f/l!/,LLC, ~t, 33,t!L <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMl1ERC IAL <br /> <br />lia ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# or' UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />FL6r2;fJA <br /> <br />/(0 0 ~ <br /> <br />/jot' <br />BUILDING SIZE 2i_ <br /> <br />x 1"0 <br /> <br />SQUARE FOOTAGE <br /> <br />7.005q;'/ <br /> <br />HEIGHT <br /> <br />~......~~) <br /> <br />RES IDEN'l'IAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SE'l'S OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />;Z1 BUT LDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />P.--", . ~ERMITS REQUESTED <br />1/'" ttbU VALUATION OF TOTAL CONSTRUCTION <br />~ AMP SERVICE 0 FLORIDA POWER 0 <br /> <br />W,R.E.C, <br /> <br />o PUJMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />A//;r <br />/ <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />TYPE or CONSTRUCTION: 0 BLOCK 0 FRAME <br />//4/ <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />1Q. STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />2f NO <br /> <br /> <br /> <br /> <br />BUILDER ~ <br />SIGNATURE~~ II ~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN '::J _ P' _ .....1 ) ~ COMPANY <br />SIGNATURK 7f ~vn 1/ ~ S'rA'l'E CER'I' OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />
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