<br />APPLICATION FuR PERI'IIT
<br />CITY OF ZEPHYRIIILLS
<br />BUILDING DEPARTMENT
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<br />APPLICANT ____~'^;?--,::? '\ ~. ~,-SLN'N\
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<br />,\DOHE55 ..:.l .J -J -'------0 - - ~-:::.
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<br />Jell LOCATIml>l.J ' !~-:.., --:) - ~
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<br />,?4- , PIIONE{';1;'?, ::J."3 D15
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<br />LOT SIZE~XLRD AREA SQ.FT.
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<br />(lh'N EE ~ DL::- ~ C3l~_h\ (j~ t-~ \ c.~
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<br />"7"; \
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<br />J.LC:\L DESCiUPTIOH: 1.0['(5)
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<br />BLOCK
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<br />SUBDIVISION
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<br />1',\j<CLL I.ll.1f
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<br />\,()!ZK l'ROPCiSEiJ:
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<br />"I"; (:unst.I.'uct"ton ~Addition _Alte.r<.ltion _Repail.- __Install
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<br />_:: LI'.:l!TcllIp.
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<br />_Sign
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<br />~lov(>
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<br />_Demolish
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<br />I'RClPUSED 11::1:: __,', llll,~.l(~ family
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<br />_M/F
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<br />_ii of Uni ts
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<br />._N/H
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<br /><, :"1111111' 1" c ial
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<br />_Indust.
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<br />_Swim. !'<)O 1
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<br />Other
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<br />___i-:(".I-i,Hn'ant & Health Department Approval
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<br />l'.UILDING :iIZE: _______.\_,
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<br />Square Fec t. ,
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<br />Height
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<br />1'.1::,; liENTl AL:
<br />,~UMMERCIAL :
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<br />ATTACII (2) PLOT PLANS & (2) SETS OF BUILDlN(~ 1'L:\rt; [. (1) SET ENERGY r\m~ts.**
<br />AT \'A(:II (J) SETS OF BUILDING Pl.ANS & (l) SET 1.:NERGY FOiUIS. 1'-/,
<br />HUll'',' Dr CONTRACT REQUIRED.
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<br />PERM1TS REOUESTED
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<br />---..J
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<br />lIUT LV LNG
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<br />.'-
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<br />_.1 (;;('\0 ~
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<br />Valuation of Total
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<br />(:, )1l~:i LUH: t ion
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<br />LEC:T!ZICAL
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<br />_______MtP Service
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<br />Florida Power Corp.
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<br />_____\-1 .R. E.C.
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<br />~tEC1 L\N1C:\ L
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<br />Valuation of Mecltauil'al [l1::itallati"n
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<br />I'll :ll\ 1 !i(;
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<br />G1\5
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<br />ROOFING
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<br />__--:;l'ECIALTY
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<br />TiPl: 01' CO~:;TlZUL!l(i:<:
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<br />Block
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<br />_Frame _Steel
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<br />_-------Other
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<br />llI;L~~lll::!J FU10E I.I! \',\ll(J'I~,:__FT.
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<br />: I 1.1,',ii.:1 t \It ~;'.
<br />
<br />.cONTRACTOR ~;ECTION
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<br />" Company ~::)..}...~ ~~E,.
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<br />c;;&~=:S' . State Cect. or "eeist. i!_
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<br />~~:__--;:::=;;. ",' __._ .. . m""City License Rpr'.i~;tr;Jtinn 11_
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<br />CompallY _--------
<br />State Cert.. or Regls t-.. 11-_,
<br />City License Hegio;triltion.ji,
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<br />l'LUlillllL___,_-------d--- Company
<br />State Cert. or lZ(~gi~jt. I,'
<br />:.l~'.nat\1rc _,___,-_________ City License l{(T.ist1'iltLOl1 II
<br />******************k***********************
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<br />Company ------
<br />State Cert. or Regist. 0
<br />_____---- City License Rv;', ist.rat:ion 11
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<br />Company -----
<br />State Cert. or RegisL. 0
<br />City License Registration n
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<br />PERHIT OFFICER.
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