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04-2876
Zephyrhills
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04-2876
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Last modified
3/6/2009 3:25:23 PM
Creation date
1/24/2007 3:09:07 PM
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Template:
Building Department
Building Department - Doc Type
Plan/Print
Permit #
04-2876
Building Department - Name
SAMSON,SANDRA
Address
3454 TOURMALINE DR
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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8R St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 2/~ ~/ <br />DATE RECEIVED '-V"C'~t?9'. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE ~7'3q- q14-~qf~ <br /> <br />SUBDIVISION ~J ,tJ~/AI~ <br /> <br />(ORTAIN FROM PROPERTY TAX NOTTeEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />OSIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION DALTERATION D REPAIR D INSTALL <br />D MOVE D DEMOLISH <br />DMULTI-FAMILY D# OF UNITS o MOBILE HOME <br />D INDUSTRIAL [] SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />6.LA~ t() //11 ,tJLt/ /)1..6/ AI 0/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDBNTIAL: 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 />D BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />BUILDER <br /> <br /> <br />CQ~WORi.SECTION <br />COMPANY tJt.J~ <br /> <br />STATE CERT OR REGIST # <br /> <br />*******************************************************~,********** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY <br /> <br />~~ <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 />OTHEa. <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />
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