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<br />APPLICATION 1"01\ PEI\11 IT
<br />CITY OF ZEPlIymllLLs
<br />BUILDING DEl'Al<nlEliT
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<br />rxqft~ j1Jl9'
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<br />OWNER'S NAME______
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<br />Ea s t Pas co 1.10. r1 j c: ,:11 C'c> nl:.c)'
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<br />w_____.___.___~_._~.__...__...__.__._______
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<br />PHONE
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<br />(813) 788-0411
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<br />miNER I S ADDRESS
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<br />7050 Gall 80ulcvn~(1
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<br />~/; C
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<br />.:: 11 .i. 11 r; ,
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<br />:' L 3 3 5 4 1
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<br />._-~~._--_._~..._-_._-_._._--
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<br />JOB ADDRESS
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<br />Same As Abm/0
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<br />---_..-.__.~----+-- .._--- --~---
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<br />LEGAL DESCRIPTION: LOT(S)
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<br />See i\tti1ch(~c1! lI!,(lCV ,';IJllDJVISION
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<br />PARCEL 1,1),*
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<br />WORK
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<br />('Q~"^Tti FonM J)0(1DI10'l'Y 'rAY )J1'I'T'Tf'!:'\
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<br />PROPOSEI) :_Ne\~ Construction ~/\dd j UOfl _.._:~__ill t:(~ra t ion _Repair _Ins tall
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<br />___Sign
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<br />__Jlo\'f)
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<br />f) (' 111 () I i Ii h
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<br />PROPOSED USE: _Single Family
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<br />_H/F
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<br />II 0 r UIll t:s
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<br />_I'l/I!
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<br />---':':""Commercial
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<br />] (\ d \ U,; t: ,
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<br />Sldlil, Pool
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<br />_Other
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<br />__Hes tnurant & HeaLth 1J()p:t f' LrH'1l i. /\pPf'o\';ll
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<br />DESCRIPTIOII OF \-/Ol<K: Ra ~t Pasco l'1.edic_~J.S_~I!_'l:_c=_.t;_.-=_~.~.~E!.::ov~!ion ~_~
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<br />BUILDING SIZE: __X_.
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<br />S q WI 1.' (~ [,' (' c I.: ,.....________11 e i p,11 L
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<br />Addi ti~tIf'Mb',J t .'J;,~
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<br />RESIDENTIAL:
<br />COMMERCIAL :
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<br />ATT^CH (2) PLOT PLANS<< (/.) ~;ETS OF I\II1LilJ1/G PJ.i\NS [( (1) SET ENERGY FOR1-1S,
<br />ATTACH (3) SETS OF nUILIlI1IC; PLI\NS t, (1) [JET E1IERGY FORI'iS.
<br />PIWl'ERTY SURVEY REQUIIUW FOH ;\LL lH:\! C()il~;Tl~lJCTTO;i,
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<br />l~illl.1JJiLBI;:S.J. !jJ:~DJ::J2
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<br />~BUILDING
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<br />VnlU:1UOIl of To (:.'!] Consl:l't1ction
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<br />AMP Servlc(~
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<br />__.__I"lorid:\ l'()\'l0.t- Corp,
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<br />_W,R.E,C,
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<br />VaLtl:\t.iO[l or iicck1l1ic:)] Instnllntiofl
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<br />TYPE OF CONSTIWGTJON: _Block
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<br />GAS'
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<br />...-.... _._______S l' E(;1;\ LTY
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<br />FINISHED FLOOR ELEVATIONS:
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<br />Other
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<br />Signature
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<br />~PPLICATION APPROVED DY
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<br />PEPJIIT OFfICER.
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