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12-13573
Zephyrhills
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Building Department
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2012
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12-13573
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Last modified
7/22/2013 10:51:58 AM
Creation date
7/22/2013 10:51:58 AM
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Building Department
Company Name
WEDGEWOOD MANOR
Building Department - Doc Type
Permit
Permit #
12-13573
Building Department - Name
GILJAM,JANET
Address
37355 DERBYSHIRE DR
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APPLICATION FOR WEDGEWOOD ARCHITECTURqI, ACI.IVI <br /> Date Received -- � - /� <br /> Before making any alterations, additions, or improvements to the ex enor of a res d n <br /> o r l o t b y re p a i ri n g, r e c o n s t r u c ting, re btu l d i ng, or improving after the house is built, the e <br /> HOMEOWNER MUST SUBMIT AN AppLICAT I ON TO THE <br /> ARCHITECTUR.AL CpMT�IITTEE FOR APPROVAL. AppROVED REQUESTS <br /> WILL EXPIRE SIX (� MONTHS AFTER DATE OF APPROVAL. <br /> A�.�'IVITY INTEND • <br /> e � e_ o -�" ��"1;� �S ✓ ' � <br /> - S� -- � L �' <br /> i, <br /> . <br /> State what you wish to do. Perinits are required to meet all current state, county, and city <br /> building requirements. All direct and indirect costs associated with the project are the <br /> homeowner's responsibility. Sketch a drawing of your proposal on the back of this <br /> application if needed. <br /> � <br /> Applicant � �.�J �� �,- , L �A Lot Number � � <br /> Address � `7 3�� .e2/.3�S � �,2 <br /> ,L�.�.�.�_ Phone No._�i���. L,3S9 <br /> Signature of Applicant � /� <br /> J , <br /> ARCHITEC'I'UR.AL COMMITTEE <br /> APPRQVED PROJECT-DATE DEI�IIED PROJECT-DATE <br /> ' . �o-.S-i2 <br /> �C ' .5 /.2 y <br /> ���5" �i2 <br /> '�' " = 1 1 <br /> COMMITTEE MEM$ER ASSIGNED TO PROJECT � �,� r r <br /> 1�'L�s /;.S� <br /> APPROVED COMPLETED PROJECT DATE COMMENTS � �� � � �3 <br /> , . <br /> :- , <br /> , <br /> - _ Signature of inspecting committee member <br /> HA.RMOIVIOUS----WORK�BLE--__NEIGHBOR FRIENDLy <br /> Revised 3/29/2011 <br />
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