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<br />APPLICATION FOR PERMIT
<br />. . CITY OF ZEPHYRHILLS
<br />,. BUILDING DEPARTMENT '
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<br />APPLICANT
<br />ADDRESS (00 '2 r c:, ~Jf- '!11ti!;(yJ '~ .
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<br />OWNER "(~~ ,..' ."','" ,
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<br />JOB LOCATION .
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<br />:LOT SIZE
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<br />.,<, AREA 'SQ. FT ~,:" ; !i
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<br />LEGAL DESCRIPTION: LOT(S)
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<br />BLOCK
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<br />SUBDIVISION
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<br />WORK PROP~SEI> 1~~J4~~C~n~,~~~ti~n ,'~?d,ition
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<br />~Si,gn/Temp., ____Sign
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<br />PROPOSED USE: ~Sin~1~tF~~i;'~ll:'J!~~~t(" HIF" 1;'1: i_4~'bf Units
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<br />-Altf7ration ~epair' ..i. 'Install;
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<br />~Hove ",I (,: .'. IHfnem61{sh
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<br />. _Commercial.... '_Indust.
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<br />~Swim. Pool
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<br />Other
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<br />( l'l'~:j~e,stau~,n~: &, Heal~ :.pe~ar,tmen~ Approva\
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<br />BUILDING SIZE: . X '. " " _Square Fee t,
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<br />H~ight
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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 FORHS.**' ~
<br />t~~COPY ,OF,CQNTRACT REQUIRED.
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<br />_BUILDING.,..,...$ ..
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<br />_ELECTRICAL... '. .
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<br />~ECHANICAL $
<br />_PLUMBING'toir I" "
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<br />PERMITSRROUEST~D
<br />Valuation. of Total Construction
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<br />,,': ,I AMP Service' , I Florida. 'Power 'Corp.' "
<br />'Lf'5-'f&-'t'::cla, i '~~alUatiO~ ~f Mechanical Installa~~on .
<br />. ,... ~ GAS' f(.' ROOFING . SPECIALTY.
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<br />W.R.E.C.
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<br />FINISHED'. FLOOR ELEVATIONS:..
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<br />TYPE OF CONSTIUiCTION: ~Block ____Frame....:......;S teel'
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<br />******************************************
<br />CONTRACTO~ SECTION
<br />Company
<br />State Cert. or Regist. #
<br />City License Registration #
<br />"******************************************
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<br />BUILDER
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<br />Signature
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<br />EY.EeTRIel AN Company
<br />State Cert. or Regist. #
<br />Siqnature City License Registration #
<br />******************************************
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<br />PLUMBER
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<br />Company
<br />State Cert. or Regist. #
<br />City License Registration #
<br />~; .' ******************************************
<br />
<br />Signature
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<br />Signature
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<br /><; 1 1 .:{,. . '
<br />Company Air Control Systems S()uthwe~t Inc.
<br />State Cert. or Regist. 4t CACO 35496
<br />City License Registration # 91 CA C035496
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<br />OTHER
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<br />
<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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