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<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPHYRHILLS
<br />. BUILDING DEPARTMENT .
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<br />APPLICANT
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<br />ADDRESS 1612 SEABOAiRr.kis'ID!' W !'}FbRTMYE~S' '
<br />L;UK!\ bM.iTH
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<br />OWNER
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<br />'3j 916
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<br />PHONE ,S7.'3-";.'58 0 0'
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<br />. bU~i M.IN~KVA .~~.
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<br />JOB-LOCATION . ." ., .. ~. , .,,'
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<br />LEGAL DESCRIPTION: LOT(S)
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<br />BLOCK
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<br />PARCEL ,I.D..L ., ,
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<br />WORK PROPqSEI);:", ':Ne~f.tc~n'~,~~~d~n :'~?di:tion
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<br />PROPOSED USE: ---...;,.Single Family." ~""T'~/F
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<br />-Alteration ~epair' ;.'i.!. :Install'
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<br />---':Mo';e h. iHil: t>em~lish
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<br />. '_4~ ,,'of Units
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<br />. _Commercial _Indust. _Swim.
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<br />t)i. ~es taurant . & Health ',Department Approval
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<br />Pool
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<br />Other
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<br />BUILDING SIZE: X : .' .,
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<br />Square Fee t,
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<br />Height
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<br />RESIDENTIAL:' ATTACH (2) PLOT PLANS & (2) SETS OF ,BUILDING PLANS & (1) SET ENERGY FORMS.**
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &'(1) SET ENERGY FORMS.**' ~
<br />" ,~,.!~:~c,pP~ r OF. .;CQNT~C.~ REQ~~D.., " , , :
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<br />PERMITS ReQUESTED
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<br />_BUILDING i, ,;'.. $
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<br />_ELECTRICA~. ; r ',,' ~.l8 '7 ~Os~n:i~e ,. Florida Power . Corp.
<br />----MECHANICAL $ Valuation of Mechanical Installation
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<br />Valuation. of TotaliConstruc:tion
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<br />W.R.E.C.
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<br />_~LUMBING 'H; I.~ #
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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 CONSTRUCnON:" . ~Block' L.:-.-Frame. "';"""'Steel ;,
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<br />Other
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<br />FINISHED FLOOR ELEVATIONS (
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<br />: FT..
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<br />******************************************
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<br />Signature
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<br />CONTRACTOR SECTION
<br />Company
<br />State Cert. or Regist. #
<br />City License Registration #
<br />.******************************************
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<br />EY.F.eTRY CY AN
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<br />Company
<br />State Cert. or Regist. #
<br />City License Registration #
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<br />Simature
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<br />Company
<br />State Cert. or Regist. #
<br />City License Registration #
<br />, . ********************~*********************
<br />'I RttllARO' yiAiiE''R J~'~:H AIR CON'rROL SYSTEM sW't,
<br />MECHANICAL ' ,',.... Company CACeJS496.
<br />State Cert. or Regist. #
<br />City License Registration #
<br />******************************************
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<br />PLUMBER
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<br />Signature
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<br />Signature
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<br />OTHF.R
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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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