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<br />,JOB SITE! ADlJRBl88 ..__;:s'_?~ /'.------~c:..~L!:~~-__~--
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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />aUII,nuw DEI?ARTMIlJN'l' 5335 8~h S'rRIlJEl'I' ZIlJPH'iRHII,I,S, P'L 33!54o
<br />Phon. , 811 -780 - 0,0' 0 .... 8 13 - 78 0 " 0 0 ~~'r. '""",v.n -L::! Z ~i!.;f,,_
<br />
<br />PI,ANS REVIIlIW Jl'llIll.c_____ __
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<br />PHONE: (X)N'I'1V~'I'
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<br />LElGlIIJ lJH18t!RIP'I'IOll1 LOT(S)
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<br />BLOCK
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<br />SUBlJIVIS Jotl
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<br />P1\Rr.!8I, ILl It
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<br />-~.----.....--------------__4._.___..._________.~______...~___________~._....__ _.__.~._'_____~..__..__
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<br />(OBTAIN FROM PROPEJR'l'Y 'rAM NOT.WEl)
<br />
<br />HURK PROPSE!IJ I UNElN I.!ONSTRtJCTION
<br />
<br />[l8WN
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<br />[] ADlJI'rICHl o ALTERATION [J REJPAIR [J 1 N8TAl,I,
<br />[] MOVE rJ DEf"lor,rSII
<br />n~1UW'I. FAHII.Y []# OF l1lU T S lJ MOBnE !Ior1El
<br />o I.NDUS'l'RI AIJ [J SN H1MING POUL [J OTHER
<br />
<br />PROJ,lOSEIl USE: I []sr.3L FAMILY DWE1,I,Ilm
<br />
<br />U Cot'lMElRi! JAI,
<br />
<br />11H]SCRIP'rWN OF NaRK
<br />
<br />C::J RBl8'rAlJRANT & HElAI/l'H DElPARTr1EN'r APPROVAL
<br />--~-- 60C. ~ Y'f"~~~__3L.__.;:?;~5-::::L~~~__
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<br />Bun,nIN(~ SIZE:
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<br />-_._-~.-._---.._----
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<br />SQUAREJ FOOTAGE
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<br />RESIDElNTIAIJ I
<br />COMMElR(!IAI, :
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<br />11m 1GHT __.__ __.______._
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<br />A'I"rAC!H (2) PLOT PIJAl1S & (2) SElTS OF BUIJ,IHNG PLANS & (1) SEI'I' ElNElRrw F()R~1S,
<br />A'I"tAC!H (]) SETS OF BUILDING PLANS & (1) SElT ENElRny FORMS.
<br />PROPERTY SURVEY RElQUIRED FOR ALL NEW CONS'I'RUCTION.
<br />
<br />~ERMITS REQUES~ED
<br />
<br />[] BIJILIJINr3
<br />L1 ElIJBlC'I'R 1. CAl.
<br />[] PI,m1BING
<br />0 '.1BIUHANIC!AfJ
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<br />$---.----- VALUATION OF TOTAL COHS'fJUJC'rION
<br />-&~~._----"-. AlilP ,9ElRVICEI Jtr" Fr.oRIrJA PONElR [] W. R, FJ, (;.
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<br />[] (JAS
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<br />$.---.--------- VAf.JUATION OF lilECllANUIA1, 1N8'1'A1,l,ATTON
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<br />fJ 8 PElC1tAI/ry
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<br />'I'YPE OP' CON8TRUCTION: lJ BLOCK
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<br />[] S'I'EElL
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<br />[] OTHER
<br />
<br />FIN rSHElIl FI,()OR FJfJEVATIONS
<br />
<br />-----------
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<br />18 PRO,TElC'I' IN FLOOD ZCJNEI AREA 0 YElS
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<br />L1 Nu
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<br />BUIJJDmR
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<br />--...----.L-_---'-.;.-------______________L___
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<br />CXH1PANY___._____.._._____________ ___._..______ ._________ ___'_.__'_
<br />STATE! CElR'l' OR REGIS'I' # ______._____._____.___.____,_______
<br />C I'I'Y PROCESSING IL_.______ __________. ________._____._
<br />
<br />81(JNATURE
<br />
<br />****************************************************************'*
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<br />mr'.lIld. TRltlIl\.~ /7./ cor"PANyA6",_, ~~c,_-=;'c':-:'_ _,__
<br />/~ STATE CER1' OR REcHS'I' 11~d.c.!.<?:".2'.~..1______._._
<br />81<lllA'l'U'E n_~ -'----'---,,,,____,__ cr',y PROCESSIN<' #-~qz,O,,___ _ _'____,__,_
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<br />COM P ANY ---..-_____________________________..____._____________.__
<br />
<br />STATE CER1' OR REGIST # _________________._.___..
<br />CITY PROCElSSING #
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<br />8IlJNA'l't1REl
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<br />MIlIC!HANltlAl,
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<br />***********"******'*'******'***'**'*****************************'
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<br />(!OI\1PANY_____________.__. ..__....
<br />8TATBl ('I11RT OR REG! ST # ____ _.______ _______.___._. _nn_.
<br />CITY PROCElSSING #
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<br />8 TCHlA1'tJREl
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<br />**************************************~*"****************"'**'*
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<br />- -----.._-'----.._-~---.._.__._...- -------.--.
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<br />OTUER
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<br />-_._-~------------_._------
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<br />S IC31IA'l'IIRE
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<br />--.....----
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<br />C()~lIPANY
<br />S'I'A1'E C'ElRT OR RE(HST #-----.-------.------..----.~.--
<br />CI'I'Y PROCESSING # ------_.__._________________
<br />
<br />************************************'*******'*********'****'*****
<br />
<br />--..--.----- .--.--.-.-------.--.--.-.. ,. -...~.~._--_._-~-..-
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