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<br />APPLICATION FOR PERHIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARnlENT
<br />
<br />Oh'NER
<br />
<br />~ ~ oR LJT~ILST;}Tf' .:
<br />35 '2&7 .yw~ 51 ijj'. .'
<br />}I IlL ~/1~A;(4~
<br />Jon LOCATION J 76~1
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<br />Pl!~~l g/3 )1%); <~)70
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<br />APPLICANT
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<br />ADDRESS
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<br />J(juJ~f~il/~
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<br />LOT
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<br />SIZE he> x /th:J AREA SQ. fT . 0~
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<br />~
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<br />LEGAL DESCRIPTION: LOTeS)
<br />
<br />IlLOCK sunrnVIS.lON 5
<br />~ 0 - 17 j'. 0
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<br />PARCEL I.D.!i
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<br />t7 3 - :1 C:,- o? I -tJ/3, 0 - tJtJO
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<br />WORK PROPOSED:~I-i constru,ction _Addition _Altero.tion _.Rcp8.ir _Install
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<br />_Sign/Temp.
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<br />_Sign
<br />
<br />_Hove
<br />
<br />_Demolish
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<br />PROPOSED USE: _Single Family
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<br />...:...--M/F
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<br />~iF of Units
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<br />. ._~I/H
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<br />_Commercial
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<br />~Indust.
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<br />_SI-iim.. Pool
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<br />)n JJ-,
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<br />Other
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<br />____Restaurant & Health Department Approval
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<br />BUILDING SIZE: ~Jr X 3~ ,
<br />
<br />!tH(
<br />
<br />Height
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<br />Square Feet,
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<br />RESIDENTIAL:
<br />COmlERCIAL :
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<br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY rOR~IS. **
<br />ATTACIl (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOmIS."*
<br />HCOPY OF CONTRACT REQUIRED.
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<br />:ERRMTTS RF,OUESTED
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<br />t9L, !Jcil>> ~/,
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<br />~IlUILDING
<br />-t-ELECTRICAL
<br />1~IECIIANICAL
<br />-12PLmIBI~lG
<br />
<br />s ..J I 0Y1J
<br />/'
<br />..l.Sl1~AMP Service
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<br />V~luation of Total Construction
<br />
<br />Florida powcr Corp.
<br />
<br />k h'.R.E.C.
<br />
<br />s
<br />
<br />Id~
<br />
<br />Valuation of Mechanical Instollat~Qn
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<br />GAS
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<br />ROOFING
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<br />SPECIALTY
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<br />TYPE OF CONSTRUCTION: ____Block _Frame _Steel
<br />FINISHED FLOOR ELEVATIONS: ~It FT.
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<br />IY1Jd
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<br />Othcr
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<br />*********~********************************
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<br />
<br />mr.mmll /~~ Compony { : U ];;ROhJ {Ltc. <;tRl/[(~ /
<br />
<br />.-/,/ . State Cert. or Ecgist:. ii
<br />Si.[?.rl<1tll~/~ . City License Rcr,istr;,1r.ion I.' 1'70
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<br />/.._ .. .,.f, -:~..' -:, * * -:, -I< * * * * * -I< -I< * * -I< * * -I< * ," * -:, -:, ,', ,', ;, ,', -:, ,', ,', ,', ':, ':, ,', ':, ;, ;,
<br />
<br />
<br />PLmmrR ~~~ /. Company /(fL.501J RYMAr1
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<br />State Cert. or Regist. !.! I
<br />Signature. ~. ~ City License Rcgistration Ii 7th
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<br />tlEt.Hf.,Nlc.hl:7!l:::;fiA J.17~~*':::::::"**"B;;~';'*,'~~eM{ ~ AI
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<br />State Cert. 01 hegls t, 1: /'
<br />Signature City License Registl'ation i.' /'7
<br />******************************************
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<br />f;ONTR~~~~~n~RCTTON N ~ R JNTflLSTAIC
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<br />Statc Ccrt. 01' EeCist:, ii l/
<br />City License I\cr',i!;l.1":\I',jnl1 ;1 277
<br />***************************************~*~
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<br />OTHER
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<br />Signature
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<br />Company
<br />State Cert. or Rceist. f~
<br />City License RCGistl~ntioI1 0
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<br />******************************************
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<br />PERmT OfFICER.
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<br />APPLICATION APPROVED BY
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