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<br />OI'lNElR' 8 HAl-1El_____~_tJ.__tLJ-:l--T-A1J.I1 f'~ ___ __ _ _ _ _ __ _____h__._ PHONE CON'l'IWI'
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<br />.1OB SITE ADDRESS --L;r.-~J;-----h-_I4Jf_'7--u.a.l-L_u.!_~;g__ /?11/,t:________._
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<br />l,EGAL DB18(!RTP'I'Ioll: 1.OT(S) ---___~Z:_____ BLOC'K__n__...__ SU8TJlVI8TOt! .k't.J2-r--I:'::.-q~~~I.t-:::d
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<br />PARCEL, I II # -----~-L ~=k~~~-2:~_-..a/~-.tL__.=?!p ~~Q_~~~~~:15~~~[!.~~~'~_~_1~~~ ._~~~~~T~~~~___
<br />HtJRK PRCH?SBJJJI [JHBJN C'ONS'I'RUCTIOH [I AflDfTIOl'1 OAL'I'ElRATION [1 RElPAIR k-1-+NSTAIJI,
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<br />CITY OF ZEPHYRHlr~LS PEJRMl'r APPIJICATION
<br />BUII,DING IHIJI?ARTMElN'r 5335 sth S'rRElBJ'r ZElI?HYRHIr,I,S, P'L 33540
<br />PhonElIS13-780-0,020 FaxI813-780-0021 . 'j,-.1,1.-/J. "2
<br />DA'rB1 RDlCIilIVllIn fI J
<br />PJ,ANS RIDVIHlW rBlsr .~".- -~"~ ----
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<br />[18 I ml
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<br />[J MOVE
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<br />o DElt-10I,ISII
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<br />PROIMSEIJ USE I []St';!I, FAt-al,Y DWEI,l,Ilm
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<br />[h1Ui.'I'r - FAHII,Y
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<br />[1# OF UNITS
<br />LJSNU1MING POUL
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<br />LJ MOB Tl.EJ !iofm
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<br />fJ cm1HERr.!IAl,
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<br />[I INDUSTRIAJ,
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<br />(~YI'HElR
<br />C~/p-r
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<br />CJ REI8'l'AlJRJ\NT & HEALTH DEPJ\R'l'f.1EN'I' APPROVAJ.,
<br />I lE8CR I P'I'toN OF NOR K --_~~/(') r._L_~._______________ '___________.________________ --..._-'-n._... _'_'___
<br />BUtr,nINt] SIZEl 1. J2.l..~_____..______ SQUARE FOOTAGE: _oj p.f!._~_ HEllGH'I' -'_?_~__________
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<br />RE8Il1111NTIATJ r
<br />cm'MBlR(!IA III
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<br />A'I"r1\CH (2) PJ,o'r Pl-lAllS & (2) SElTS OF BUu,nnm PJ,AN8 & (1) SElT E1NElRGY FORMS,
<br />A'r'l;ACH (J) SETS OF EUll,DUJG Pl-lANS & (1) SElT ENElRCW FORMS,
<br />PROPElRTY SURVEY REQUIRED FOR ALL HEN CONS'I'RUCTION.
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<br />FERMITS REQUESTED
<br />
<br />~iJrI,IJING
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<br />L_J2--.1. s_____ VALUATION OF TOTATJ COHS'fRt1CTION
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<br />AtIfP ~ERVICEJ
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<br />FLORIDA POWER
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<br />W.R,El.{!,
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<br />[] P I.tJf1B I NG
<br />o IIfHICHANlt!AJ,
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<br />$----..----'-------- VALUATION OF HIlJe'HA.NCIAJ, UI8TALI,ATTON
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<br />[] (~A8
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<br />LJ ROUFING
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<br />[J SPEJC1tAUry
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<br />[] O'I'HEJR
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<br />'l'YPEJ OP' C!ON8'I'RUl!TIOFI r [j BLOCK
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<br />[J STElEll-l
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<br />[I OTHElR
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<br />F'INISHElJJ Fl,OOR ElI,EVl'TIONS
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<br />I8 PRO,TEC''f' IN FLOOD ZONEl AREA [] YElS
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<br />o NO
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<br />BtJunrllR q 17 0)-1 Cl
<br />"IGNAT1J.. _.c=-~ _~~ ___
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<br />******************************************************************
<br />
<br />COf1P I\Ny-----4....lc::--L_L~_..pA-L </JJ;:l- ___ ._,
<br />STATE: CFJRT OR REGIS'I' # ----s::.[-La~kV'r~_
<br />CI'rY PROCESSING fl-_-I1_5.~_.____. _n .'. ___._._ .__ _H'
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<br />S] mrA'l'lJRE _____
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<br />.~_.._~,. _0__.._.-..- _____ __._.____
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<br />cnr'1PANY _______ ____ _______ _h___ ________
<br />STATE C'ERT OR RElt1T8'I' #
<br />CITY PROCESSING #
<br />
<br />.---.- ._-. .-----.-.-..-.....-..--.--..-....
<br />
<br />******************************************************************
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<br />
<br />PJJUMBI!IR
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<br />._.-~~O_.'_""-"_'___"'_"___m ________
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<br />(~OM P ANY - ----_____ _________,---_ __._______..____ ____._. ___.____.______.__
<br />
<br />STATE CERT OR REGIST # ________________________
<br />CITY PROCESSING #
<br />
<br />8 WNATI1R EJ
<br />
<br />MTllr!HANICAl. COMPANY__________________.________._______ "___u____
<br />STATEl ('ElRT OR REGreT # ____________________________
<br />SIGNATUREl CITY PROCESSING #
<br />
<br />******************************************************************
<br />
<br />-~.~-_._,------~---_._-_.- .__..._.._----.~---~.~
<br />
<br />---~._-----.---------~--_.._.__.,...O__.._._____ -----..-~____._O____~,._______,_
<br />
<br />*****************************************************************
<br />
<br />OTlIBlR
<br />
<br />----'----------~-_.._--------------
<br />
<br />(~OrIIPANY
<br />STATE CERT OR REmST #-------.....-----.------..----- ---
<br />crry PROCElSSING # ------------- -.________________
<br />
<br />----_.._+-_.-----_-..~---_.~--_.~.--_.__._-~---------
<br />
<br />S WNA'I'lIREl
<br />
<br />*****************************************************************
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<br />-'~-----.-."-..- ._--_.---~-~---......_.,_.-'-- ... - -'."-..--'" .----
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