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04-2678
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04-2678
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Last modified
3/6/2009 3:26:16 PM
Creation date
1/16/2007 10:15:19 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
04-2678
Building Department - Name
WARREN,HARRY
Address
37428 NEUKOM 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:813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME (Z)~ I/"f'-<2.fA tA-aV-V''t <br />JOB ADDRESS 3r?\.{J ~ ;U-e,^-fc.u~ ~ <br />LEGAL DESCRIPTION: LOT (S) 36 BLOCK <br />PARCEL ID # ~'h1-S-d\rOUqO~ 6oooo-03~o <br /> <br />PHONE <br /> <br />SUBDIVISION C)'yC<.v..c9 ~~.~l.fl,\GJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />(]SIGN <br /> <br />(]ADDITION <br /> <br />[JALTERATION <br /> <br />(] REPAIR <br /> <br />(] INSTALL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />(] COMMERC IAL <br /> <br />[JMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />[J OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~\~ tu 'S:.~ J. OL.,-A.~) t l \ s.,kf- "- t Su->t0.-- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS 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 />PERMITS REQUESTED <br /> <br />o BUILDING <br />[~rEiECTRI CAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br />(] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] GAS <br /> <br />(] ROOFING <br /> <br />(] SPECIALTY <br /> <br />(] OTHER <br /> <br />1.'YPE OF CONSTRUCTION: (] BLOCK <br /> <br />[J FRAME <br /> <br />(] STEEL <br /> <br />(] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROaECT IN FLOOD ZONE AREA(] YES [J NO <br /> <br />L_____L_ <br /> <br />..__.~--~_.._._-_.__._--_._--_._._----' <br /> <br />CONTMe!rOR/I$:lOi.!'%ON <br /> <br />BUILDBR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNA.TURF. <br /> <br />~~ <br /> <br />COMPANY <br /> <br />~ <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />EJlDoooo~O <br /> <br />****************************************************************** <br /> <br />PLUMBBlR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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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