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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />Bun,UlNG DEIi'ARTMEN'r 5335 sth S'fREBl'r ZI!IIi'HYRHILLS, rt. 33540, ,
<br />PhonElI813~780-0)()20 'axI813-780..00:n .. __ .. '7
<br />nATa RIJ(1IIVllIb -J~::;?/t.:jtL~_
<br />PJJANS RIVIBlW Jl'JlIIll_'-'-'__~_'L'______
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<br />,
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<br />ONNBJR' 8 HAfI1E :s- rl t ~, /-/~;.,- PHONE CON'l'Ar~'!' J~_l"=c?,,,!:l ~
<br />-------.,.__..._-_._-------_..~_.__._---_.__._-_._.._._----
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<br />lTOB SITE ADDRESS ---~-.Z~.;)::----Ij-~-!~--__.x.l.Jsn'?__L r-:-___.______~.._______. .h_____.__._____,____-.._.__
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<br />U3JtlAL IJBlSCRIPTIONI LO'r(S)
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<br />-~-.._---_.-.-_._--
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<br />BfJOC!K
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<br />SlIBfJIVIS lOt!
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<br />PAROEll, In #
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<br />_.._.~----_._._------- :-
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<br />WORK PROPSl!ltJ I lJNI!lN C'ONS'l'RlJCTION
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<br />_._-_._-'"._--_.._------~---~--~----_._--------_._-_..__.-----.---------------
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<br />(OBTAIN F'ROM PROPERTY 'I'Al{ NO'I'H~EJ)
<br />
<br />[laWN
<br />PROtJOSElll lISElI ;f1sr]IJ FANILY DWELIJIHG
<br />[J Cm1MElRc' lAI,
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<br />[J ADDITION ~ ALTERATION [J RBlPAIR IJ rNBTAYJI,
<br />o MOVE 0 DEMOLISH
<br />r-Jt1tJt,'1'I .. FAMIl,Y 0# UF UNITS IJ MosnBl II ot1 III
<br />o lNDUS1'RIAT, [J SWIMMING POOL [J OTHER
<br />
<br />o RB:STAUR1\NT & HI1lAI,nt DEPARTt1ENT APPROVAL
<br />
<br />".aCRr P'I'IoN OF WORK ,~7& u <f'. ~ r: a.. 4, t:D 2.0010 ~ ,5:'-.,___.,."..,___.,._" ''''__"_,,,
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<br />aurWIN" sr.. _,,__ aQUARE Foono. ..1,24' ~~ ,~, HalON" c,_,_____
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<br />R.!llBWBlNTIArll AT'l'1\CH (2) PI,OT PI.ANS & (2) SElTS OF BUIIJDum PLANS & (1) 8ElT ElNI!lROY FORMa,
<br />(20MMEIWIArJ I A'l'1iA(~H (J) SETS OF BUiLDING PLANS & (1) SET ENElRcN FORMS,
<br />PROPHlRTY SURVEY REQUIRElD FOR ALL NEW CONSTRUCTIoN.
<br />
<br />i.ERMITS REQUESTED
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<br />Cl BllILlJING
<br />I~BlCTRlCAIJ
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<br />c:! '- r)<?
<br />$__.___~t:)/). -"---..
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<br />2-_c:2L:) _---"-' At1P SElRVWEI
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<br />VALUATION OF TOTAL CONS'rRlJCTION
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<br />[J PI,tJt1BINr3
<br />o '"EUfH\NWATJ
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<br />Et~-'FI,oRrnA POWER
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<br />o WoR.E,C!,
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<br />[] W\8
<br />
<br />U ROOFING
<br />
<br />,
<br />$---..------- VALUATION OF t1ElCHANCIATJ INs'rAI,IJATTON
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<br />[J SPElrJrAUry
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<br />[) OTHER
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<br />'l'YPEl 01:1' CON8TRUC'l'ION I [J Bl,()(~K
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<br />o FRAME:
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<br />[) STEEL
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<br />[J OTHER
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<br />FINIBHElJ FI,OOR I1II,ElVATIONS
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<br />18 PRO,TECT IN FLOOD ZOHEI AREA [] YHlS
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<br />o [~O
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<br />BttILOBlR
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<br />COt1 l? ANY ___._______.__..______________..__.__.___._.____.____
<br />STA'I'Bl CElRT OR REeHST # --_.__u________.___.._'-. ____
<br />CITY PROCESS ING IL__.._.__.________________.________
<br />
<br />SIGNATURE
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<br />~~******'~*******'*******~*****~*~****"*"************'********
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<br />BlI,RlClTRICIAN .,/. ..././~ 7 /.. ....../ . ...... Cm1PANY&.'L.~:...,1./!!~"I-k-:...S/~.. .!.-;L5.L~~~.___.--.-..-..-
<br />!. ')/ j/ / / STA'I'El e'ERT OR REGIST # C<::'-':;")d~ 7 z...
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<br />It" _____________.__.____...._.._.__.__..__..__
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<br />prJtIMB IIR
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<br />.__.._---........~............_---.,~ -.
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<br />._--_._~--
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<br />C !Ol>l PANY---________~----_____..____.____________.._
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<br />STATE CERT OR REGIST # ____________.________._..
<br />CITY PROCESSING #I
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<br />S lrJHA'l'l1RE
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<br />MBlCHANICAT.
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<br />****'*'*************"*'***"'**'**********'*'**"***'************
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<br />~'----....-..._--_._.......~-_._-_._..__.,--
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<br />cotvJPANY _________.___._..______~_.__.. ._____.. ____
<br />STATE ~ERT OR REGIeT #I
<br />Cl'I'Y PROCESSING #
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<br />S WNA'l'lJRBl
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<br />OTIIBlR
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<br />******'**************'*'**"'**"'~*'************'**"***********
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<br />---------------.--.--..----.----.-
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<br />---..:..-~-~--......c__________
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<br />CO,",1PANY
<br />S'I'A'I'El CERTCiR REOIST #I
<br />CITY PROCESSING #
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<br />S [rmATURE:
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<br />._--._---~-------, .......-.-
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<br />------..-------.---------
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<br />********~*******'*******************'*"'*'*'***'*'****.***~*****
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<br />---~.~..._.._-_._--~_._-~--..:..-.>_._._---~---_.
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