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<br />APPLICATION FOR PERl'lIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
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<br />^PPLlCANT ~\ '-i !VH\ (0
<br />ADDRESS '~-I 3~). '::-)
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<br />PilON!:: 782 o(;,.J...S-
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<br />LEGAL DESCRIPTION: LOTCS') :{}().lFO)(ll1t~J BLOCK
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<br />aI'iN E R
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<br />'::J/\ N C ~t" Z.
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<br />JOB LOCATION
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<br />LOT SIZE /.U :<..120 AREA SQ,FT,7(')uCJ
<br />SUBDIVISION 5. \v"U... Ofi\<S ( '')
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<br />PARCEL I, D , j,
<br />WORK PROPOSED:~New Construction ____Addition ____Alteration
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<br />_Repair
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<br />_Inst3 l]
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<br />_Sign/Temp,
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<br />_Sign
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<br />_Move
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<br />_Dernoll~1
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<br />PROPOSED USE: _Single Family
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<br />_M/F
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<br />_II of Uni ts
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<br />_~l/H
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<br />_Commercial
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<br />_Indust.
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<br />_Swim, Pool
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<br />Other
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<br />_Restaurant & Health Department Approval
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<br />BU1LDING SIZE: 'S<=1
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<br />~c.) llP
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<br />Square Feet,
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<br />He 19i i'
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<br />RESIDENTIAL:
<br />COM."1ERCIAL :
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<br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLA~S & C 1) SET ENERGY FOR.'1S,
<br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS, ,'d
<br />~*COPY OF CONTRACT REQUIRED.
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<br />BUILDING
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<br />PERMITS REOUESTED
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<br />$ ~70 to 00 Valuation of Total Construction
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<br />:) 0 c) AMP Service Florida Power Corp,
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<br />_h',R,[,C,
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<br />--./fLECTRICAL
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<br />---LL:1 ECH,.I,N I CAL
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<br />$
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<br />Valuation of Mechanical Installation
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<br />~PLl~BING GAS ROOFING
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<br />TYPE OF CONSTRUCTION: ~Block _Frame _Steel
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<br />FINISHED flOOR ELEVATIONS: ';fSffli.'
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<br />SPECIALTY
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<br />Other
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<br />" CONTRACTOR SE~ ,'--r dd._
<br />~ Company' N,,"- L'-..:I'\.<:'" V'--U,,-(j2v~V\.,_ ,
<br />- . , State Cert. or Regist. !I c.€,C -,O'3Sj~C::t--
<br />\\'A'-'~__ City License Registration il ~ ~'1
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<br />Signature '''-_''-f,j,-_
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<br />Company l\J~ce.-t:)Y\J 'h \ec-\el c..._
<br />'~ -;, State Cere or Regist, II
<br />. ~, City License RegistraUon;1 '4-~ -.J.~~
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<br />PU'"'EB ~ Company -\-~il.e.ruS 5x:rcc;ct';
<br />// State Cere or Regist," ~F uC (:(.0(.0 S'.3
<br />Signature ~ City License Registration#, . 68(....,
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<br />MfCHt..NIC~I
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<br />, Company R(\"'~~ S G-AS (~/~_ ,'~'
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<br />.l ;-? / State Ce". oc Reg;, t. . ,. CfC..::-",,;,~,,,,,,,,:>
<br />,'LL----- <-/--"'---,-- Clty Llcense Reglstratlc1n 'I '<>- ~ /?
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<br />Company 1<\ ~,ynfh'\. " Lr\s-h: (>( "'It i---.;
<br />State Cert. or Regist, II f2-c:.., ()'dI3l2t<-t6
<br />City License Registration II 6~'
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<br />Sign<3ture
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<br />'APPLICATION APPROVED BY
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<br />PER~llT OffICER,
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