<br />O\'lNElR I S HM1El____2A.tLJ.'_11___ R~_s.~j(~___________
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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />
<br />BUll,Dum DEI?ARTMBlN'r 5335 8th S'rREBI'f ZEI?H'iRHII,I,S, P'L 33540
<br />PhonaI813-780-~020 Fa~1813-7eO-0021
<br />D1\,'rm RBC1Il1IVJJ!O
<br />~'H_____ -'~____k__:''''4____
<br />PI,ANS RHlVIIlIW rEIIl__h___ L'
<br />PHONEl C:ON'l'Ar!'r._&'L,i=Zg~ -: z.~r s-
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<br />JJElrJJ\L !)BJ8l!RIP'I'lONI LOT(S)
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<br />BIDC!K
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<br />PARCEl, ILl #
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<br />SUBIJIVI8JON
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<br />~WRK PROPSEllJ I [JNIllN CONSTRUCTION
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<br />
<br />------------.---..---------- _.__....~--._- -....---...-... --'---.. ~~ - ---_.._--~..--
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<br />(OBTAU1 FROM PIWPERTY 'I'1\)( N01'H'IlI)
<br />
<br />rJ ADDI'rIClN
<br />
<br />o AL'I'ERATION
<br />
<br />[J RI!IPAtR
<br />
<br />LJ INSTAl,I,
<br />
<br />[JSHm
<br />
<br />[) MOVE
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<br />o DEMor,ISII
<br />
<br />l?RO/,l(lSEJI1 tlSE: I [.lSGl, FAMILY DWEL,I,IlIG
<br />
<br />rJt1t1I.'l' I . FANIL,y
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<br />[J# OF ONI'I'S
<br />fJ S~1!r.1tHNG POOL
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<br />(] MOBII.El llot.1!ll
<br />(J OTIU!lR
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<br />[J CCJt1MIlJRC JAI,
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<br />[) INDUSTRIAT,
<br />
<br />CJ R~8'rAI1RANT & HEJAI,TlI DEPARTf\1EN'I' APPROVAL,
<br />IJE.CUPTION OF NORK 1. ":)lq ~T- -1dL ~~t<- ".:!:.__Q EJ ~....._.._____ _..~_. .....
<br />BlJILfHNC3 SHm -~tt_){J.~ SQUARI!I FOOTAGE __________ HEJIGH'r .,____~________
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<br />RESIDENTIAT"
<br />(~O~1MIllR(!IAI, I
<br />
<br />A'r"I'ACH (:2) PLOT PIJAI1S .& (2) SETS OF BUrr ,/)INr~ PI,ANa & (1) SIlIT ENElRriV FORMS,
<br />A'I'T1\C!H (3) SETS OF BU!LDING PLANS & (1) SElT ENElIWY FORMS,
<br />PROPElRTY SURVEY REQUIRED FOR ALL NEW C!ONS'I'RUC'I'ION.
<br />
<br />FERMITS RBOUESTED
<br />
<br />[] BIJIJ,IJIN(~
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<br />.' Co' cJ
<br />$__._-<; ~~-:::...._--~ VAL,tJATION OF 'I'OTAIJ COl\1S'fRlJCTION
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<br />[J EJLIlJC'I'RlC.!AL
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<br />fJ FLORIDA POWER
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<br />rJ W,R,E),n,
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<br />$__.___'
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<br />- VALUATION OF tIlElCHANC!IAI. UISTAI,l,ATTON
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<br />[J (~A8
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<br />LJ ROOFING
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<br />[J SI?EC!lAUry
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<br />[] OTHElR
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<br />1'YPEJ OF (JO/18'1'RUCTION I [) BLOCK
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<br />[J FRAMEJ
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<br />[] STEElL
<br />
<br />f] OTHER
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<br />FINISHEr) FLUOR I!lIJElVl:TIONS
<br />
<br />---------------
<br />
<br />IS PRO,JEC'f' IN FLOOD ZCJt.TEJ AREA tJ YHls
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<br />
<br />**************************"*****'***'****************************
<br />
<br />(XH1P AN Y__._____________________ .___..___.__ _ __________ '__
<br />STATE CEJRT OR RErJIST # _______________.________;. ______
<br />CI'rY PROCESSING IL_________.________________ ._._.._._____
<br />
<br />SllmATIJRE! ___.._.
<br />
<br />'-'__. h__ ....___ ~________.__.__. "__"__.'___. ......___.____.____
<br />
<br />COf'1PANY _'___ ________ _ _ ____ _ _______
<br />STATE: e'ERT OR RElCJTS'I' It
<br />CITY PROCESSING It
<br />
<br />.~--~.-_..------_._.._- ---..--
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<br />.---.. ---. -- ~--- ._-~+-------_.._----_.__.-_._.
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<br />COl'I P 1\N Y ----____________-,-______.___..____.__. _.. ____ _______ -..__
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<br />STATE CEJRT OR REJGI8T # ___________.____.____.._
<br />CITY PROCESSING #
<br />
<br />SIcJNA'I'I1REJ
<br />
<br />MmClHANI CAl,
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<br />",*******",*'*******************************************************
<br />
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<br />-_._--_.._---~_._--_._--_......__.._-
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<br />Cel/Ii P ANY ----------________. ___________ __ _h._._
<br />STATE CERT OR REGIST #
<br />CITY PRUCESSING #
<br />
<br />------- ....-.-.-- -..~.- ----.--.-------.------.-.. --.
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<br />8 WNA1'IJREl
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<br />COt,'IPANY
<br />81'1\ l' E cEiRT-orCRiillST-r------.--- -------_ ___"_. _
<br />CI'rv PROCESSING # -.________.____________
<br />
<br />s [(mATURE
<br />
<br />*************'**********************************'******'****'***'
<br />
<br />-----------....... ._.._.__.--------.,_.-.-~<,-_.~,--_._._-_.-
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