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05-4161
Zephyrhills
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Building Department
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2005
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05-4161
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Last modified
3/6/2009 3:44:58 PM
Creation date
3/7/2007 6:43:00 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
05-4161
Building Department - Name
MOSS,JASON
Address
5442 9TH ST
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<br />CITY OF ZJ:!il:'.t1~~n.J..u.u.... ... ...----- <br />BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PEBMITTING t3G 11 q l.l21- <br /> <br />".-, <br /> <br />OWNER'S NAME ~,~/tBni L <br />JOB ADDRESS =e;r4L qth <br /> <br />Urffi <br />\~t'eJ <br /> <br />PHONE <br /> <br />S\317CU! 2 7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />.u. ") <br />(~:::P~~C~~ <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOl-' <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK ~ement i[)( i veW&f <br />------ <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~' BUILDING <br />o ELECTRICAL <br /> <br />$ V'.' /;fj)~ <br /> <br />VALUATION OF <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. ,,//--'-'-"~"\ <br />..., ....-', \ <br />:.~'>>'" ~ \ <br /> <br />/' t{ I b I <br />(! -/" / <br /> <br />TOTAL CONSTRUCTION ----- <br /> <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 />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <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 <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />lcJfJ'1lIP f<<;JJ <br /> <br />STATE CERT OR REGIST # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <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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