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<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
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<br />ADDRESsZD~ 8:S':~ if!Sf'~-tt:tr'~~(.'6 $)QLpHONE "~'7~,::'<o:9'3(j:
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<br />OWNER 't' it-1f 0 L:.~' ' e.. ib ;J tJBf?";' " I "
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<br />JOB LOCATioNd~,'.t'.tlf\3'?':t ~~'iil:)J4:"A V _ LOT SIZE'; 'X;):'ARE^ 'SQ:FT/" ,', i'i
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<br />LEGAL DESCRIPTION: LOT (s) 0 ,H (> BLOC: ",,"'I H. SUBD~VI~ION'__iJJ.:k 'Ii' ~y 'I /Jo /u\w
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<br />PARCEL ,I,D,II . '
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<br />WORK PROP~SE?:~Ne~I,~c~n~~ry.~ti~n .,~?~i.tion , -^lt~fa.tio~){:;:;-~e~fir
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<br />.r:~_r;;, .,.
<br />:~S,i.gn/Temp. _Sign _Hove
<br />PROPOSED USE :'''-...:.Sir!~l~~ 'F~iii;~~~~1~~(1.~') M/F"!, t! f_4Itbthunftii(:'! I,' .....2J...JI/H
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<br />APPLICANT
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<br />~ ,t1..' ."
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<br />,<r", Install'
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<br />d"L"'I'Demolish
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<br />BUILDING
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<br />;,~l}l<fill'il( ~:!b~_~rIJi~ii\'i;' j';)1'f 'WI !Indust. ~siJtm,pij~l
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<br />"'i ~: ,f,S ~ i.' \ ,:: ~', I ..... t t .,; I, ~ , i ';~ ' t '~ . ; '" , . t
<br />tjOtCl -Restaurant ~,Health':Department Approval "
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<br />~'~;:a, t:J ~" ;'r~ ,< ',;' I lr~~\' ~.~: t '~~~~l ~!.~' r
<br />SIZE: X , Square Feet,! "
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<br />~' Other
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<br />Height
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<br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF.BUILDING PLANS & (1) SET ENERGY
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & 1(1) SET~ENERGYFORMS.**:
<br />" , .~ ~,:",~cppy:,.or ,CQNTR;ACT,REQUlRED. . . "
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<br />FORMS. **
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<br />PERMITS RRQUESTED
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<br />_BUILDING '; ,_\.' .~'. $ .'
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<br />_ELECTRICA~,~~, '
<br />hECHANICAL : i $
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<br />,it,
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<br />, Valuation of Total;Construction
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<br />_PLUMBING .'!i.
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<br />, AMP 'Service , ___Florida Power 'Corp,. ,,',
<br />," ;':.'~ ;,,~,'i""~~alUatiOn ~'f HeChanicalInsta~l~~ion
<br />.' .''!, GAS'jh: ROOFING'; "t"" " SPECIALTY"
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<br />W.R,E.C.
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<br />Other
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<br />TYPE OF CONSTRUCTION: i_Block '; ~Frame"
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<br />\ " " .~, ::'. . ~, , '.
<br />FINISHED'FLOOR ELEVATIONSi'"' , FT,. Y:H
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<br />BUILDER
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<br />**************************************....
<br />CONTRACTOR SECTION
<br />Company
<br />State Cert. or Regist. ~
<br />City License Registration ~
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<br />Signature
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<br />Company p,. R- . <::. -(,' C I fi S ~\ FI; cI/e ;' C'
<br />State Cert. or Regist, 4~ t:~'f..';Ij'-S/ 7
<br />City License Registration ~ ~
<br />*******************....***********
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<br />PLUMBER
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<br />I..-
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<br />Company
<br />State Cert. or Regist, ~
<br />City License Registration ~
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<br />Signature
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<br />Company I G If D' A-t.f tf!
<br />State Cert. or Regist. t~ c AC.o
<br />City License Registration #
<br />************************************
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<br />J i.} i: "
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<br />OTHER
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<br />Company
<br />State Cert, or Regist. #
<br />City License Registration ~
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<br />Signature
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<br />APPLICATION APPROVED BY
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<br />PERMIT OFFICER.
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