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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, rL 33540
<br />Photler813-780_Q020 FaXI813-780-0021
<br />lJA'rB1 RJJI(tBlIVlllo
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<br />PI,ANS R!llVIJ!JW Jl'1lI111___ ___ "L
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<br />lJBlrJ1\L J)EJSUR T P'I'Iotl: LOT (S)
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<br />PARCEll, ILl #
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<br />BfJ(JCK
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<br />SlIBlJIVISJOU
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<br />WORK PRnPREfJ r [J HEN f'ONS'rRtJCTION
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<br />--_.~------_._--_.__._---------------------- ._----~----_._----------_._..- .---..-.----.---..--
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<br />[J ADIJf'rION
<br />
<br />(OBTAIN FROM PROPEJR'l'Y '{'A)( NOl'H~El)
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<br />DSHm
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<br />U AL'f'ERATION
<br />
<br />U RllJPAIR
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<br />[J INSTAT,!,
<br />
<br />[J MOVE:
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<br />[] DEHO!,ISH
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<br />PROJ,lOSEIJ {JSE: I [J8CH, FAMn,y DWEJL!,I1m
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<br />f]f1lJL1' r - FAMIl,Y
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<br />[J# OF lINI'I'S
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<br />LJ MOB Ir,El liOf1Rl
<br />UOTHER
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<br />fJ Cor1MllJRt! I.A f /
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<br />[J HTDUSTRIAf,
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<br />fJ Svllt1MING poorJ
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<br />IlEJ8CRIPTION OF NORK
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<br />o RS8'rAURANT & HEAlmr DB:PAR'n1EN'I' APPIWV1\I,
<br />".~ rtJif____'______~ ___'___ __"___'_"
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<br />BUIr.nING E1IZEl
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<br />-....-----
<br />
<br />SQUARE FOOTAGE
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<br />.._-----------~~-----
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<br />----.-.- ~'._-- --.
<br />
<br />RElSIIlBlNTIAI'1
<br />COMMI!lIWI AT,I
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<br />A'r'rAC!H (:3) PLOT P!JAI!S .& (:3) SElTS OF BUI! ,IJIN(] PLANS & (1.) sEI'r ENIl1Rny FORMS,
<br />A'f'1;ACH (3) SETS OF BUILDING PLANS & (I) SET ENERClY FORMS.
<br />PROPIllRTY SURVEY REQUIRED FOR ALl, NEW CONSTRUCTION.
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<br />0-.-... __________ __~
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<br />HEl!OH'!'
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<br />CJ BIITJ,IJIN(~
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<br />I>l!lRMITS RmQUE~TBlD
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<br />$-./2o.~______ VALUATION OF TOTAl, CONS'fRlJCTION
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<br />CJ ElLElC'I'RICAl,
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<br />l.J Pl,uf1BING
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<br />---------------.;.. At1P ,9ERVICE
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<br />o FLORIDA POWER
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<br />o W.R,Bl,C,
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<br />o /1B:CHTUHC!AI,
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<br />[J GAS
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<br />fJ SPEr.!tAUrv [] OTHER
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<br />']'YPEJ DF' CONSTRUCTION: [J BLOCK
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<br />[J FRAME
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<br />[J S'l'ElEL
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<br />[J OTHER
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<br />F INISHEllJ FI/OOR BlI,EVATIOHS
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<br />--..-----._~--
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<br />18 PROlTEC'I' IN FLOc)fJ ZOHE AREJA. 0 YElS
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<br />o No
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<br />BIllt".. "OMPANV,,'-_____ U -U'__u _,_ "._ -.. _" _ _ _ "
<br />~ ~ p,?, ~- STJ\TEl CE1RT OR RElrJIST # ____,_ ______ ___. _ . ___ _ _ ____ ___.
<br />81 GH ^ TIIR. -. ~ 0:#=--,'__------.:.~_____,,___ CITY PROC.8 8 ING "-__, . .,_ , u__._ .,,_~. __. ",.,,__ '._
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<br />ml,IlCTRICIAN
<br />
<br />.... ---'-- -_._-._----._---------~,-_. --..---------
<br />
<br />COHPAN Y _______________ _____________________ _____
<br />STATE e'ERT OR REGIST #
<br />CITY PROCESSING #
<br />
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<br />8] GI1l\'l'IJRE ____
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<br />COI>l PAN Y --------------------.,-______._____.....___ _u__ _._ ________
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<br />STATE (!ER'I' OR REGIST # _____________________________.
<br />CITY PROCES8ING #
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<br />8WN.A'l'l1Rlll
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<br />*********"*'*'**'*****'***'**'****'~**"****'*'*'***'*"'***'**"
<br />MOCBANICA!, (!OMPANV__"___,,,,_,.. .. __,._.. "'._ ,,_
<br />S1'A'rEl ('ElRT OR REGrST # --~--___h_'__ ____________________
<br />STGNA1'{JREJ CITY PROCES8ING #
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<br />OTHER
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<br />------------.--_u,______ ______..________ ___._____ _________
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<br />B I m'1J\'I 'tJR III
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<br />~k______.__
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<br />cOr'!PANY
<br />S'rA11B] ciRT- OR -RE~.#---------.~._._-----... ~--_.._____,~..._... '~_'__~
<br />CI'ry PROCE88ING # _____________________________.
<br />
<br />'***'**'****'*****'****'*****'**'*'***'*******'***'**************
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