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<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPHYRHILLS
<br />, BUILDING DEPARTMENT
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<br />APPLICANT
<br />ADDRESS 1 612 's' EABo~~ri i ~ I !!.!\,~ ~fo RT :MYE'RS~ ' ,
<br />Cl1~IS!!,I~<E. D9N1\HUE ,. , '
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<br />OWNER . ".', , " " , '.
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<br />JOB' LOCATION " ,.,' , I. , . I ' '. " .
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<br />, PHONE
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<br />LEGAL DESCRIPTION: LOT(S)
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<br />BLOCK
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<br />';LOT SI~E:I' '~i'
<br />SUBDIVISION
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<br />WORK PROPqS~~~~N~~"'.co.n~,~rtt~ti~tl, :-,;.....A?di,tion ----Alter~tiori~epab.. ,; F~;t; {'Install;'
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<br />PROPOSED ~SE: -1Sill~~l~f "F~iii;:~,lf~i~t~t~~J :Hir .:' It'! ; ,1__4~~~ftLu~itti: :t . ,", ',' H'M/H
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<br />'_Commercial ,,' ~Indust._Swim, : Pool. I ,
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<br />I' 1'I\(J'~estaurant: &, Healt~~:Dep8rtinent'"Approval,
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<br />BUILDING SIZE:
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<br />Square Feet.
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<br />Height
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<br />RESIDENTIAL: '
<br />COMMERCIAL :
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<br />ATTACH (2) PLOT PLANS & (2) SETS OF .BUILDING PLANS & (1) SET ENERGY FORMS...
<br />ATTACH (3) SETS OF BUILDING PLANS &1(1) SET ENERGY, FORMS... I,
<br />I: . ""!,,.COPY .OF ,CONTRACT REQUIRED,
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<br />PERMITS REOUESTED
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<br />_BUILDING
<br />_ELECTRICA~, '
<br />hECHANICAL
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<br />$
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<br />Valuation of Total Construction
<br />'~~~ 1:>~C)S~~i~e , Florida Power 'Corp.
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<br />Valuation of Mechanical Installation
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<br />W.R.E.C.
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<br />_PLUMBING ,j)
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<br />GAS'f;
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<br />ROOFING '
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<br />SPECIALTY
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<br />TYPE OF CONSTRUCTION: _Block ' _Frame" _S teel '
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<br />Other
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<br />FINISHED'FLOOR ELEVATIONS i"
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<br />BUILDER
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<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 />Signature
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<br />State Cert, or Regist, #
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<br />State Cert. or Regist, WAC 035496
<br />City License Registration #
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<br />PLUMBER
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<br />Signature
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<br />Signature
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<br />APPLICATION
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<br />PERMIT OFFICER,
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