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05-4028
Zephyrhills
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2005
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05-4028
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Last modified
3/6/2009 3:45:35 PM
Creation date
2/27/2007 9:18:44 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
05-4028
Building Department - Name
VANDUSEN,ELIZABETH
Address
5631 13TH ST
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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 RECEIVED <br /> <br />;;-1- O~- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME EI i'Z..CLbf>~ ciJC'l..rY'R~c:, Vo..v-~~ PHONE <br />JOB ADDRESS Sa3 \ \ 3~ S+-. Za.phL(1 ~~lb) k ~$-t-:L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # \ \ . ~t.o .;t.l .00 ID. \DSOG . 0040 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />Ji'ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:)(I SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Ursro..cLe ~;Q.. hl \'50 CLrv....p 4- l~shll f'l2w Gu-Wcrx mel!" fMV'le 1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />.. ..-----'" <br /> <br />". .. "-, <br />\, <br /> <br />...., <br /> <br />o BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />//l-IoJB .. <br />( , I ..' .. ,/ <br /> <br />~~_.......// <br /> <br />PERMITS REQUESTED <br /> <br />\ 50 ~ AMP SERVICE <br /> <br />)0 Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANRQ.e~ Ele.c.....+r, (Cl \.. :::In<.... <br /> <br />\J..\<-\:q <br /> <br />ELECTRICIAN <br />l(_o-yv-~\^ ~ YL- <br />SIGNATURE .:v ---(f <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <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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