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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />
<br />BUILDING DBIi'ARTMBlNT 5335 ~~h Sll'RBlBl'l' ZBlPHYRHILI,S, Ji'L 33840
<br />~hon.1813~780-~020 FaxI813-780-0021
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<br />,JOB B I'1'1il ADDRESS ,~_._______,_,___________,_,___________._.________._..____._.,.._.__,.
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<br />LEGAL n8lSCR 1 PTION I LOT (S) _ I 50 ___
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<br />BLOCK
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<br />SUBDIVISION
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<br />PARCElL If) #_~!:l::.';(lo- ~I :::M.,3Q- OOOOD- 1500_
<br />WORK PROI?SSlIJ I l]NEW CONs'rRtJC'rION KJ ADDITION
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<br />(OBTAIN FROM PROPIilRTY TAX NUTJCE)
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<br />-_._._-----_..._._..__.~--..._...-
<br />
<br />[JSHiN
<br />
<br />Ll MOVE
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<br />o AUl'ERATlON
<br />o DEMOI,ISH
<br />
<br />o REPAIR
<br />
<br />.
<br />IJ lNS'rAl~I,
<br />
<br />PROI?OSEIl liBEl JijSGL FAMII~Y DWELLING
<br />rJ Cot~MBlRC TAl,
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<br />OMl1W'I - FAMn,y
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<br />0# OF ONI1'S
<br />o SWIMMING POOl,
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<br />[] MOBH,Bl IIOME
<br />lJOTflER
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<br />o INPlJS'l'RIAL
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<br />D RESTAURANT & HEAW'H DEPARTMENT APPROVAL,
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<br />DESCRIPTION OF WORK ._~lu..ml~yt~_~tt Sc..r-een eY\'1-t..6hed-+-~COV\ffet-e...
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<br />BUILnING SUE I ~x.. ~(e,___ SQUARE Foo'rAGE _ '-I3?- HIilHJH1r ...2cf~ p~
<br />
<br />RES IDBlNTI AIJ/ A'I"I'ACH (:a) PL,OT PI.AllS & (J) SElTS OF BUrr ,DING PLANS & (1) SBlT B/NIl1JH~Y FORMS.
<br />(;OI>1MBlRllIAI., A'I"l'AC1H (3) BEl'I'S OF BUIr~DING PLANS & (1) SET ENIilRGY FORMS,
<br />PROPERTY SURVEY RIilQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />FERMI1'S RHlQUlfiTIm
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<br />~ BIIILDlNf3
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<br />L_,
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<br />VALUATWN OF TO'I'AI, CONS'l'RtJC'l'roN
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<br />IJ BlLBlC'I'RICAI.
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<br />AMI? /3ElRVICE
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<br />Fl,ORrDA POWER
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<br />Ii.R,B.f1.
<br />
<br />o PI,UMBING
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<br />o 1'1BlUHAJ:HCAI.
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<br />$--
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<br />VALUATION OF MElCllANCH1\I, INS'I'AI,LA'l'ION
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<br />rJ ROOFING
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<br />[J SI?EOIA1,'I'Y
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<br />[J OTHBlR
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<br />'I'YPI:il OF CONSTRUCTION I [J BLOCK
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<br />o FRAlvl8
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<br />[J 8TBlBll.
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<br />[J OTHER
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<br />F'lNISHBljJ F1.(jOR ELEVATIONS
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<br />IS PRO':JECT IN l<'I,OOfJ ZONE ARElA 0 YEla l"J NO
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<br />BUILnlllR
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<br />SllJNA'fUREl ~W~L~~
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<br />CDtiJI?ANyj1 i ke tv illl aW,A~ C9r)~_~_____
<br />STA'L'El CliIRT OR REGIST # _____'_.___.,_____
<br />C I'I'Y PROCESS lNG 4L..,2~____._____._.__
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<br />***********.**.*.**.****.*****.******.******************.*....*.*.
<br />
<br />II.IOTRICIAN
<br />
<br />CDtIJPANY ____,
<br />STATE CElRT OR REGrST #
<br />CITY PROCESSING #
<br />
<br />~--?-....--_.-
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<br />S] mm:rURBI _..~_'_________._________~_,
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<br />.~--........_--- -.-------.---.......---...-
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<br />**************************************************..*.********....
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<br />-~~_.-._-'----._. ..---.---..-................
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<br />i'LUMBliIR
<br />
<br />COMPANY--_. '_____..____.___
<br />STATE CIDR'I' OR jUilGIST # _______,________.
<br />CITY PROCESSING #
<br />
<br />SIGNA'l'IJREJ
<br />
<br />MBJOHANICAr~
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<br />***'*.,*.*"*'**,****.,*,***..*",**."**,,*,*****,,,**'***"****'
<br />
<br />---.--------.-
<br />
<br />COMPANY____
<br />STATEl C!ElR'f OR RElGIS'!' #
<br />CITY PROCESSING #
<br />
<br />-.-----..._--.~-_.._,-.._-~.-
<br />
<br />SIGNATIIRE!
<br />
<br />--~----------------------
<br />
<br />*.*'.****.'********'*'**.***..***.****~*******~*********"*'*'***
<br />
<br />---._---------
<br />
<br />OTHia
<br />
<br />-.-.-..-----------
<br />
<br />cor"lPANY
<br />STATE CERT OR REGIeT #
<br />CITY PROCESSING #
<br />
<br />-----..-----
<br />
<br />S IlJlIATUREJ
<br />
<br />-----~_..---..----_.......
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<br />**t.****t*****,****.*********,**,*,*,*,**.***,*****..*..*."'*.'*
<br />
<br />--..--........---..----
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