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<br />CITY OJ:!"' ZHlPUYRHIIJIIS PEHMrr APPIJICA'l'ION
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<br />BUIIJ1>Hlll IJBJPAR'l'MIllN'.r 5335 Sth STREHl'I' ZlllPIIYRHII,I,S, Fl. 33540
<br />PhoneIS13-'l80-0020 Fl!utI813-'TBO'.0021
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<br />WORK PROPSElD I ~NEJ\'I COnSTRUCTION
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<br />SQUARE: FOO'l'1V~El
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<br />A'I"J'ACII (3) 8ElTS OF 8tJ)f,DJl1G PLAI'IS & (1) BElT ENERGY FORI<lS.
<br />PRuPBlR'!'Y SURVEY RElQUIRED FOR AI/I, NEW CONSTRUCTION.
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<br />PERMITS REQU~STED
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<br />IS PRIJtJHJCT 1l'J FII)(JfJ ZOllEl AREA[l YElS
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<br />BTA'l'lil CERT OR HE(HS'!' 41
<br />CITY PROCElSSTW~ #
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<br />CO~1PJINY -----------.__h_____._,.___,___, .____,______..,...,_.
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<br />STATE CElR'I' OR REl(~ 18'1' #
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<br />('I'1'Y PROCElSSING # --.---~-.----,-.----.._________n_
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