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<br />CITY OF ZHlPHYRHII.I,S PERMI'!l APPl,ICA'l'ION
<br />BUH,DJ.lW D]llPAR'l'MIllN'r 5335 8th 8TRllll!l'1' ZlllPIIYRHII,I,S, PI, 31B40
<br />.Phonel813-'780-0020 FaxI8l:3-'780..0021 ~.. . /
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<br />InANS RRVIBW l1'B _____,__
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<br />1 UWIIEJR'S NAr1EJ-WL~.ff. ~,--..L:!~~,y/'-:V/___J.__, ____...________ PHONE {'()N'I'AC'~', 2t~ _~.J::.!._S-
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<br />,J08 ST'l'E) ADDRliJSS _":LC;--2.~ J ---&Z_..~___-L2 v'~ .___u ____ '__"_ _ h__ ___ ____. ___ ____
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<br />LBiGAlJ UI!lBCR! P'l'lON I L,()'l' (8) Bl.OCK 8tJBIlTV I S ION _____..____...____.._ __'''__'_,__
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<br />PARCBil, III i~_1) ~).-?-II(:)o "LQ/OQ,(2_~O__LL'L~~'l'^-~~'Ror,I_PR~)P~R'I'Y_~I~~~~'~~~~mu
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<br />[JslenT LJ l'lOVE LJ UElWll.,ISH 71'- r (" ^"C E (C/1,4fv L/ru f )
<br />PROPOSIllIl USE I ~8(n, F'AMIl,Y DWEJIJ[dNG [J !vJl)L'1'I - F'ArH LY [J # OF' UN l'I'S LI ~ll0B II,HJ IlUHEl
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<br />L]CUI-1MBlRCIAI,
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<br />n INDUSTRIAl,
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<br />[18WJ/.1tIlTNG poor,
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<br />[J O'['IIElR
<br />
<br />[_J RElSTAURAHT & HIllAI.'l'lI DElPAR'l't.1IllN'l' APPROVAl,
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<br />1J11l8C!HI P'I'IC>l1 OP' wmK ..-2.--~_.?_-~-,--Cf..'~.--~~~__!:.l.~~(.__,~.r'-v~~C::_,.____,___,,,,_,___
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<br />BlJIl.,THN(3 SlZHl .-.____.___._..______._..___ SQI/AREl FOO'l'JV~El ___..___,_.___ IIBlIGII'l' ____i_~_,_,____.
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<br />RillS IlJJ<JN'l'lAT. :
<br />COM~1ElRC Illl, :
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<br />A'l"l'ACII (:2) PLOT PLA118 & (:2) 8El'1'S OF BIJII,DINt3 PLANS & (J) SEIT EJNElRGY FORMS.
<br />A'1"I'ACII (3) SElTS OF BUlfJlJl.lW PLANS 5< (1) SElT EJNJr.RGY FORl-1S,
<br />PROPBJR1'Y SURVElY RHlQUIRElD F'OR AI,l, NE!lW (~ONSTRlJC'l'InN,
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<br />LJ BlJJLlJll1G
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<br />. PBlRMI'rS I'EQUES'rED
<br />4 - pf I(" M ) T /,.::/ L I ~ C (
<br />$ I S J.Ie. VAI,UA'flOU OF TO'l'Al, COtlS'l'RI/C'fION
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<br />[I ELElC'l'R 1: eA I,
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<br />Ar-1P SElHVICEJ
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<br />P'I,ORIDA POImR
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<br />'l'LR,El.C!.
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<br />r I P1,(//vJB flm
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<br />I.J IvlHlCIIAIHCAL
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<br />U W\8
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<br />[] R( >OF 1NO
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<br />$.,------.--------,--, VAL,UATION OF' IvJE:CIIANCIAI, I N8'J'l\l ,I ,A'I' Ion
<br />LJ 8PECIAUI''{ # UTHER
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<br />'j'YlJE OF' COllSrl'RUC'l'lON I IJ BLOCK
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<br />[J FRANEl
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<br />[] 8 'I'El E:IJ
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<br />[J OTHER
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<br />J:i'L1HI:lIIEl/J F'I,OUn. E:l,ElVA'l'IONS
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<br />---------~---
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<br />IS PRCltJIllCT IN FLOUT> ZOllE AREAL] YES
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<br />[I NO
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<br />
<br />BUlLDlIR
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<br />--------.----.--
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<br />COMPAtlY ---.__,____,__ .... -----____h__ '_'___
<br />STATE! CElRT OR RElGlS'!' jf ___'___.______.______,_,_____,_,
<br />CITY PROCElSSING #
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<br />811mA'l'UR III
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<br />!!ILIllC'l'RICIAH
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<br />CO/>1 P 1\ N Y.__,____ .._,_._ "_. _______. ,_____
<br />STA'I'Iil CERT OR RErHS'!' #
<br />SImm'l'lJRE!l -----_..,____________,_______ CITY PROCESSTN('J #
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<br />------.-__..~.__~h ."_.____ _.___.___.__. _____..__.___ ....__
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<br />PIJUMBlllR ClJttJPANY----____.______. ..____._.____,_,______
<br />STATE CER'l' OR RElCHS'l' # _______.___.".._._
<br />SIGNATURE CITY PROCESSING tI
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<br />MBlUHANl(!AI,
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<br />Cm1P}INY_____. m--____....__..'__h.._,____.
<br />STATE CERT OR RE(~ 1ST #
<br />CITY PRU(,ES8IW~ tI
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<br />~~-_._-_. -.--.------- ---.-.- .-- .---- --.. -.----.--.
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<br />()'l'HBlR
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<br />(L S~ll. 0 //4 L~1~)( -I. ~~P~l~,_~______.__.____._______.....______
<br />/ STATE: CERT OR REG I 81' #
<br />. .. .z ~ eny PROeB8SIlIa ffL'l!L-:~::::~=:=:=:-:-I:-
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<br />8IGNATURE:
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