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<br />. '
<br />
<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
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<br />APPLICANT J J T~~tn ,';-' "/nO '-r=r-
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<br />:3 C) 0i7lfJJlr~('5'~' '.4~Vcr-
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<br />OWNER '~'{j'~7c':- :;,:~d'l /
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<br />JOB LOCATION ,;~j _i? 'j l>j"Vi" ., ;,0'~ '~
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<br />ADDRESS
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<br />PHONE
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<br />"7'gf~'7% 3~cr-
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<br />'LOT SIZE
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<br />X"
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<br />.:" AREA I SQ, FT . : i!
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<br />2/ J./-JI'rs U~+-S
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<br />LEGAL DESCRIPTION: LOT(S)
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<br />PARCEL 'I.'D~~I,' iH'l~r..:2!l!;;::"'2l';... d6 ~O' :- DO 3.0!) -' Do\.{o"';',
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<br />WORK PROP~SEP!:, <.:-~~~~c~n~)~r~~tiC?n i ,~~4i:tion
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<br />'~S~gn/Temp,' ____Sign
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<br />~~'~~r', 111 - ":"i~fJt~:'~J .','
<br />PROPOSED USE: --i.,SingleFami!y""'''"''.:..:.:.Jf/F'
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<br />BLOCK
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<br />SUBDIVISION
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<br />---Alteratio~ '2Repair!, .;1 ; Install'
<br />',i1'. ';:lJi'r.!;"i..I"(~:/~:}\Xvt~~I.';: "
<br />---2.)Iove ,,1., .,)l,l'Demolish
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<br />I , ,:.'(; _ "..", ' ~
<br />, '.....--4PibfLUnits
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<br />..l:JI/H
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<br />..:~}li:f;;j.iV1..\ ~j(.1 ,"'lrf io' .~'n, i,~"n '.,. ";1"",
<br />'_Commercial ,"~Indust. ____Swim. :Pool
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<br />:1';:;'l;"~~~e~'~~~~,n~;~fHeai~~pep~~,tment~.~p~roval,; ',' 'Id '..
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<br />BUILDING SIZE: X
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<br />Other
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<br />~. t
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<br />'Square Feet, ~;
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<br />^ol' .
<br />
<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) SET ENERGY FORMS.**' ~
<br />,~,~COPY ,Or ,CQNTRACT ,REQUIRED,
<br />'" ~ . ...Il !, -. . .,' ,f ;.' 10 4, , :j . ''r I :,., , ~
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<br />PERMITS ReOUESTeD
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<br />_BUILDING ,,~,' '~""~' $ ..
<br />_ELECTRICAL..: ,~! ,j ,"
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<br />~ECHANICAL
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<br />, . :t~, > '
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<br />Valuation of Total Construction
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<br />"'~. ~; ~ '
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<br />;1 fo'
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<br />AMP'Service ' , Florida powertCorp, ,
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<br />$" :'~:"~:";~'~~~alUatiO~ ~f'Mechanical 'Insta~latio~
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<br />,W.R.E.C.
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<br />~PLUMBING 'tll I '! '~. ~... ~ GAS iI,;
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<br />ROOFING'
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<br />',.i'."" 'SPECIALTY,<
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<br />TYPE OF CONSTRUCTION: --:,..Block
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<br />~ .: '. . ", : .,"
<br />FINISHED'FLOOR ELEVATIONSt " FT,.'
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<br />i,' Other
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<br />.,;~'t'i 1 r~
<br />******************************************
<br />CONTRACTOR SECTION
<br />Company
<br />State Cert. or Regist. ~
<br />City License Registration fl
<br />,.******************************************
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<br />BUILDER
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<br />Signature
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<br />F.T.F.CTRTCTAN
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<br />Company
<br />State Cert. or Regist, fl
<br />City License Registration ~
<br />******************************************
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<br />Silmature
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<br />Company
<br />State Cert. or Regist, ~
<br />City License Registration fl
<br />. ' ******************************************
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<br />PLUMBER
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<br />Signature
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<br />Signature
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<br />Company .J} II? C o,,;--r-KoL
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<br />State Cert. or Regist. ~
<br />City License Registration
<br />**************************************
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<br />Company
<br />Statt~ Cert. or Regist. it
<br />City License Registration fl
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<br />OTHER
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<br />Signature
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<br />
<br />APPLICATION
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<br />" '.' %**************************************
<br />APPROVED B~ iii '., . .:tj:':'.~ ~ p.a Ah. "r ,
<br />
<br />PERMIT OF1"ICER.
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